Myra Boerner, OTR
Occupational Therapist in Acworth, GA. Individual provider (NPI-1).
NPI number1528294592
StatusActive
Last updated in NPPESJun 4, 2009
Details
- NPI
- 1528294592
- Entity type
- Individual (NPI-1)
- Name
- Myra Boerner
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 4, 2009
- Last updated
- Jun 4, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 000310 | GA | Yes |
Practice location
1618 Clark Lake Dr NwAcworth, GA 30102-7906
Phone 770-794-8526
Mailing address
1618 Clark Lake Dr NwAcworth, GA 30102-7906
Phone 770-794-8526
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 30 Occupational Therapist providers in Acworth · All 1,233 providers in Acworth
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