Alexandra Boulais, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23998 Issued in MA

Practice address

99 Longwater Cir Ste 201
Norwell, MA 02061-1643

Phone

(617) 804-0708

Fax

(781) 347-4696

NPI assigned

Feb 22, 2021

Last updated

Feb 22, 2021By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Peak Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Norwell, MA
  • NPI 1184898769

  Physical Therapist

  NPD

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1376137208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 LONGWATER CIR STE 201",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611643",
            "telephone_number": "617-804-0708",
            "fax_number": "781-347-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 LONGWATER CIR STE 201",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611643",
            "telephone_number": "617-804-0708",
            "fax_number": "781-347-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULAIS",
        "first_name": "ALEXANDRA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Boschetto, PA
• Danielle Lee Bossey, RBT
• Jeffrey Mark Bossio, LICSW
• Madison Botelho
• Linda S Botello, OD
• Gina S. Boutwell, M.D.
• Chelsey Bowker
• Rameika Boyd
• Katelyn Boyle
• Sutton Bradbury-Koster

• Physical Therapist in Norwell, MA
• Providers in Norwell, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.