Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Victoria Boucard, OTR/L

Individual provider Occupational Therapist · NPI 1699474734

Victoria Boucard, OTR/L is an Occupational Therapist in Private Practice in Staten Island, New York. Qualified in 2016, 10 years ago. Practices with Core Therapy Services PT OT PLLC, a 29-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2023
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

75 Vanderbilt Ave Fl 7
Staten Island, NY 10304-2604
Phone: (718) 215-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 021959 (NY)

Record details

NPI number1699474734
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedFebruary 27, 2023
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 27, 2023

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Core Therapy Services Pt Ot Pllc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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