Jennifer Boudreaux, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1246893 Issued in TX

Practice address

2158 Portsmouth St
Houston, TX 77098-4057

Phone

(713) 529-4990

Fax

(713) 523-2452

NPI assigned

Sep 30, 2014

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1164825519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 PORTSMOUTH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984057",
            "telephone_number": "713-529-4990",
            "fax_number": "713-523-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 PORTSMOUTH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984057",
            "telephone_number": "713-529-4990",
            "fax_number": "713-523-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "JENNIFER",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1246893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel A Boudreaux, DC
• Darla D Boudreaux
• Deborah N Boudreaux, DDS
• Emeric Boudreaux, D.D.S.
• Holly Boudreaux
• Camry Boudy
• Anita M Bouges, MSW
• Philip Boughton, CRNA
• Marcy Lea Bouillion, APRN, FNP
• Charbel Antoine Boujaoude, RPH

• Physical Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.