Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sunny Rae Bolduc, OT/L, CLT

Individual provider Occupational Therapist · NPI 1457910556

Sunny Rae Bolduc, OT/L, CLT is an Occupational Therapist in Private Practice in Belfast, Maine. Qualified in 2003, 23 years ago. Practices with Magnolia Outpatient Physical Therapy Services, LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
23
Licensed in
ME
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

118 Northport Ave
Belfast, ME 04915-6009
Phone: (207) 505-4727
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT1630 (ME)

Record details

NPI number1457910556
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT/L , CLT
Sole proprietorNo
NPI enumeratedJune 12, 2019
Last updated in NPPESJune 12, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Magnolia Outpatient Physical Therapy Services, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Belfast