R Christopher Bouton, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0143541 Issued in NY

Practice address

221 S James St
Bouton Physical Therapy
Rome, NY 13440

Phone

(315) 337-1436

Fax

(315) 337-1437

NPI assigned

Aug 10, 2006

Last updated

Jul 8, 2007By 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 6

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bouton Physical Therapy PCGroup PAC ID 5193743854, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Bouton Physical Therapy PC

  • Physical Therapist
  • Rome, NY
  • NPI 1043225915
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013928621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S JAMES ST",
            "address_2": "BOUTON PHYSICAL THERAPY",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-337-1436",
            "fax_number": "315-337-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S JAMES ST",
            "address_2": "BOUTON PHYSICAL THERAPY",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-337-1436",
            "fax_number": "315-337-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTON",
        "first_name": "R CHRISTOPHER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0143541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "435054",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6699194",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7164110",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "04102500062",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02071589",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10058323",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica L Bohndorf, LCSW
• Andrea Boshart, LMT
• Rebecca Bourgeois, FNP-BC
• Ann Margaret Bouska, MA, CCC-SLP
• Bouton Physical Therapy PC
• Denise Marie Brannick, MD
• Megan Rae Breeze, M.S. CCC-SLP
• Bremer Hearing and Audiology, PC
• James M Bremer, AUD
• John Collins Bremer, HAD

• Physical Therapist in Rome, NY
• Providers in Rome, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.