LOIS BOOMER (OT) – Pediatric Occupational Therapist, NPI 1679629034

LOIS BOOMER (OT) is a healthcare provider. based in Moab, Utah. specializing in Pediatric Occupational Therapist. They hold the professional credentials OT. They hold a License No. 105065-4201 (UT). The NPI Number for LOIS BOOMER (OT) is 1679629034

Main info

Female
Name
LOIS BOOMER (OT)
NPI
1679629034
Phone
(435) 259-8633
Address
475 PARK DR
Enumeration Date
26 January 2007
Last Update Date
12 July 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for LOIS BOOMER (OT)

  • 475, Park Drive, Moab, Grand County, Utah, 84532, United States

    MOAB, UT 845322225

    Phone: (435) 259-8633

    Type: Mailing

  • Main Street, Moab, Grand County, Utah, 84532, United States

    SUITE 4 POB DRAWER E

    MOAB, UT 845322980

    Phone: (435) 719-4067

    Type: Location

  • 336 S 10TH ST

    MONTROSE, CO 814014934

    Phone: (970) 249-1412

    Type: Location

  • PO BOX 102

    NATURITA, CO 814220102

    Phone: (970) 765-4533

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84532)

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Reviews

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Frequently asked questions

What identifier follows LOIS BOOMER (OT) across health systems?
The NPI 1679629034 uniquely identifies LOIS BOOMER (OT) in U.S. healthcare data.
Does the public listing show LOIS BOOMER (OT) as active?
LOIS BOOMER (OT)'s NPI record reflects an active status in NPPES.
What does the directory say LOIS BOOMER (OT) does?
Insurance directories may phrase it differently, but here LOIS BOOMER (OT) maps to Pediatric Occupational Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to LOIS BOOMER (OT)?
LOIS BOOMER (OT) shows a connection to Moab, Utah in registry-derived data.
Can I export LOIS BOOMER (OT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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