Lynn Boudreau PT II LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LYNN BOUDREAU PT II LLC

Practice address

321 Baker St
Keene, NH 03431-4345

Phone

(603) 352-9990

Fax

(603) 352-1368

NPI assigned

Nov 1, 2006

Organization subpart

No

Name

Jill Bond

Title

Administrator

Phone

(603) 352-9990

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

• Lynn A Boudreau, PT

  • Physical Therapist
  • Keene, NH
  • NPI 1114939907

  NH, Physical Therapist

  Medicare reassignment NPD
• Julie V Bastille, PT MS

  • Physical Therapist
  • Salem, NH
  • NPI 1396940318
  NPD (past)
• Melanie Suzzette Greenwood, MPT

  • Physical Therapist
  • Keene, NH
  • NPI 1144241530
  NPD (past)
• Shana L Kirschner, MPT

  • Physical Therapist
  • Nashua, NH
  • NPI 1801973326
  NPD (past)
• Lisa N Young, MPT, ATC

  • Physical Therapist
  • Langdon, NH
  • NPI 1386669828
  NPD (past)
• Ellen H Helinski, P.T.

  • Physical Therapist
  • Somerville, MA
  • NPI 1093753139
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

• Boudreau Physical Therapy Associates Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508943069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 BAKER ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314345",
            "telephone_number": "603-352-9990",
            "fax_number": "603-352-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BAKER ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314345",
            "telephone_number": "603-352-9990",
            "fax_number": "603-352-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN BOUDREAU PT II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "603-352-9990"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP #",
            "identifier": "50Y127100NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boudreau Physical Therapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrie A Lundeen-Young, M.D.
• Amanda L Lundy
• David Luscombe, PT
• Katie E Lyman-Maynard
• Kevin P Lyness, PHD
• Jacqueline Marie Lyon, M.D.
• Reuben M Lyons, PTA
• Austin Curtis Mabry
• Alicia Ann Macdougall, PSYD
• Kaitlyn E Mack

• All providers in Keene, NH
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.