Individual provider Active NPI

Elizabeth Grace Boudreau, PT, DPT

  • Physical Therapist
  • Arlington, TX
National Provider Identifier
1427942911
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1406867 Issued in TX
Practice address
400 W Arbrook Blvd Ste 151
Arlington, TX 76014-3181
Phone
(817) 472-8383
NPI assigned
Jun 7, 2025
Last updated
Jun 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1406867 TX Primary

Addresses

Primary practice location

400 W Arbrook Blvd Ste 151
Arlington, TX 76014-3181

Mailing address

2100 Heritage Ave Apt 1134
Euless, TX 76039-5550
Phone (903) 617-9690

Other practice location 1

3400 Long Prairie Rd Ste 101
Flower Mound, TX 75022-2953
Phone (972) 899-2537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1406867TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1749254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749254400000",
    "number": "1427942911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 HERITAGE AVE APT 1134",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760395550",
            "telephone_number": "903-617-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD STE 151",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143181",
            "telephone_number": "817-472-8383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Long Prairie Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750222953",
            "country_code": "US",
            "telephone_number": "972-899-2537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUDREAU",
        "first_name": "ELIZABETH",
        "middle_name": "GRACE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-07",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1406867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2025; 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.