Julie M Bouchard, DPT
Individual provider Active NPI Physical Therapist · Caribou, ME
NPI 1043467079 · NPPES record last updated Jul 13, 2018
Key facts
- NPI
- 1043467079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT3450 (ME)
- Practice address
- 118 Bennett Dr Ste 140
Caribou, ME 04736 - Phone
- (207) 498-6334
- Fax
- (207) 493-3247
- NPI assigned
- Aug 21, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County Physical Therapy LLC
Practice addresses (Care Compare)
118 Bennett Dr
Suite 140
Caribou, ME 04736-2052
Phone (207) 498-6334
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081018000101 | ME | Practitioner - Physical Therapist in Private Practice | 7618035734 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3450 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
118 Bennett Dr
Ste 140
Caribou, ME 04736
Phone (207) 498-6334
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3450 | ME | Yes |
Addresses
Primary practice location
118 Bennett Dr Ste 140
Caribou, ME 04736
Mailing address
118 Bennett Dr Ste 140
Caribou, ME 04736-2052
Phone (207) 498-6334
Other practice location 1
48 Tandberg Trl
Windham, ME 04062-6402
Phone (207) 892-3952
Other providers in Caribou, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.