Richard B Boulli Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006526 Issued in CT

Practice address

245 Alvord Park Road
Suite 2
Torrington, CT 06790-3493

Phone

(960) 496-9851

Fax

(860) 482-4047

NPI assigned

Aug 4, 2006

Last updated

Jun 13, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maletta Pfeiffer and Associates, L.L.C.Group PAC ID 0446284178, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maletta Pfeiffer & Associates, L.L.C.

  • Physical Therapy Clinic/Center
  • Torrington, CT
  • NPI 1982827333
  Medicare reassignment Care Compare group NPD
• Maletta Pfeiffer & Associates, L.L.C.

  • Physical Therapy Clinic/Center
  • Torrington, CT
  • NPI 1992125330
  NPD
• RPT Inc

  dba Physical Therapy Center

  • Physical Therapy Clinic/Center
  • Torrington, CT
  • NPI 1295743037
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1003824707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 ALVORD PARK ROAD",
            "address_2": "SUITE 2",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903493",
            "telephone_number": "960-496-9851",
            "fax_number": "860-482-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 ALVORD PARK ROAD",
            "address_2": "SUITE 2",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903493",
            "telephone_number": "960-496-9851",
            "fax_number": "860-482-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULLI",
        "first_name": "RICHARD",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "080006526CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004209723",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boris J. Sawula, M.D., P.C.
• Svetlana Borohovich, MD
• Victoria Bothroyd
• Joanne M Bouchard
• Patricia L Bouchard
• Martha Jean Boyer, LCSW
• Catharine S Branch, LPC
• Ariel Brandt, LCSW
• Carlos Braverman, D.D.S.
• Leigh S Brezenoff, MD

• Physical Therapist in Torrington, CT
• Providers in Torrington, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.