Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kristen Laurie Bourque

Occupational Therapist β€’ Providence, RI

Active NPI 1063433092 Individual Practitioner Female Practitioner
Practice location in NPPES

153 Summer St
Providence, RI 029034011

Call 4012764300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

153 Summer St

Providence, RI 029034011

Telephone 4012764300
Organization at the Same NPPES Address or Phone
Children's Friend And Service Facility NPI 1972662104

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Providence and Rhode Island

136 active clinicians are listed under Occupational Therapist with a practice address in Providence, RI (489 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Providence

0% of these 136 clinicians have the CMS telehealth indicator.

6.6% of these 136 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-18
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

License # reported to NPPES RI OT 00994

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
ES01788 (RI)
Other Identifier Bc Ri
SB870 (RI)
Other Identifier Nhp Ri
0614 (RI)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location August 19, 2025

Registered at 153 SUMMER ST, PROVIDENCE, RI 029034011 (Tel: 4012764300)

πŸ“
Updated Business Mailing Address August 19, 2025

Registered at 153 SUMMER ST, PROVIDENCE, RI 029034011 (Tel: 4012764300)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2025

Occupational Therapist (license number reported to NPPES: RI OT 00994)

πŸ“
Updated Practice Location November 22, 2022

Registered at 1000 EDDY ST, PROVIDENCE, RI 029054739 (Tel: 4015339165)

πŸ“
Updated Business Mailing Address November 22, 2022

Registered at 1000 EDDY ST, PROVIDENCE, RI 029054739 (Tel: 4015339165)

πŸ“
Updated Practice Location July 29, 2021

Registered at 375 FORTUNE BLVD, MILFORD, MA 017571723 (Tel: 5084787752)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2021

Occupational Therapist (license number reported to NPPES: MA 10918)

βœ…
NPI Profile Active December 02, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 02, 2014

Registered at 50 W MAIN ST, HOPKINTON, MA 017481672 (Tel: 5084350120)

πŸ“
Business Mailing Address (Initial Record) December 02, 2014

Registered at 50 W MAIN ST, HOPKINTON, MA 017481672 (Tel: 5084350120)

πŸ‘€
Provider Name / Credentials (Initial Record) December 02, 2014

Recorded as KRISTEN BOURQUE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2014

Occupational Therapist (license number reported to NPPES: MA 10918)

🟒
Initial NPI Registration & Enumeration July 23, 2006

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1063433092
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2006
Last Update: August 19, 2025
Sole Proprietor: No

Other Occupational Therapists in Providence

All Occupational Therapists in Providence

Mailing Address

153 Summer St

Providence, RI 029034011

Phone: 4012764300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.