Frank Bouch

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT010779L Issued in PA

Practice address

763 Johnsonburg Rd
Saint Marys, PA 15857-3417

Phone

(814) 788-8490

Fax

(814) 788-8091

NPI assigned

Sep 2, 2015

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

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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 and National Provider Directory roles.

• Elk Regional Professional Group Inc

  • Rehabilitation Clinic/Center
  • Kane, PA
  • NPI 1982073854

  Physical Therapist

  Medicare reassignment NPD
• Elk Regional Professional Group, Inc.

  • Nurse Practitioner
  • Ridgway, PA
  • NPI 1982668885
  NPD

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1033587480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 JOHNSONBURG RD",
            "address_2": "PENN HIGHLANDS ELK",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "15857",
            "telephone_number": "814-788-8490",
            "fax_number": "814-788-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 JOHNSONBURG RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573417",
            "telephone_number": "814-788-8490",
            "fax_number": "814-788-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCH",
        "first_name": "FRANK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT010779L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crista Marie Bennett, PA-C
• Anthony B Bertini, PT
• Kayla Bobenrieth, PHARMD
• Brandi Bogacki
• Kathleen Carpen Bordick, CRNA
• Anne M Breindel, PA-C
• Lauren R Breindel, COTA/L
• Jacquelyn Brem, OTR/L
• Kathryn Mae Brem, OTR/L
• Torie Brem, OTR/L

• Physical Therapist in Saint Marys, PA
• Providers in Saint Marys, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.