NPIMap

Organization Active NPI

Joseph R. Boucher Rehabilitation Services

  • Occupational Therapist
  • Haverhill, MA
National Provider Identifier
1144516303
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5489 Issued in MA
Legal business name
JOSEPH R. BOUCHER REHABILITATION SERVICES
Practice address
39 Willie St
Haverhill, MA 01832-3042
Phone
(978) 372-5128
NPI assigned
Jun 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Authorized official

Name
Mr. Joseph Roland Boucher, OTR/LNPI 1578764668
Title
Occupational Theripist
Phone
(603) 887-1023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X 5489 MA Primary

Addresses

Primary practice location

39 Willie St
Haverhill, MA 01832-3042

Mailing address

39 Willie St
Haverhill, MA 01832-3042

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1144516303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WILLIE ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018323042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WILLIE ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018323042",
            "telephone_number": "978-372-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R. BOUCHER REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "BOUCHER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ROLAND",
        "authorized_official_title_or_position": "OCCUPATIONAL THERIPIST",
        "authorized_official_telephone_number": "603-887-1023",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "5489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.