Catherine Bouchard, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501003311 Issued in MI

Practice address

34505 W 12 Mile Rd Ste 100
Farmington Hills, MI 48331-3287

Phone

(855) 559-7178

NPI assigned

Dec 11, 2018

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1467923839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 HORSESHOE CIR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483482003",
            "telephone_number": "248-421-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34505 W 12 MILE RD STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313287",
            "telephone_number": "855-559-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "CATHERINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508823774",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5501003311",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Botsford Medical Imaging, PC
• Angela Bottini Grove
• Sarjoun Bou Hamdan
• Bassel Bou-Hamdan
• Rabia Bouaicha
• Melissa Beth Bouchard
• Sarah Bouchard
• Stephanie Bouchard
• Mohamed Bouchentouf
• Chloe Boucher

• Physical Therapist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.