Individual provider Active NPI

Jessica Elaine Bouchard

  • Physical Therapist
  • Redmond, WA
National Provider Identifier
1528840600
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
18100 NE Union Hill Rd Ste 310
Redmond, WA 98052-3330
Phone
(425) 285-5617
Fax
(425) 285-7129
NPI assigned
Oct 16, 2023
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X WA Primary
Physical Therapist 225100000X 304277 CA

Addresses

Primary practice location

18100 NE Union Hill Rd Ste 310
Redmond, WA 98052-3330

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

2492 Nissen Dr
Livermore, CA 94551-7704
Phone (925) 980-8130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250611004059 WA Practitioner - Physical Therapist in Private Practice 0446608988 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highline Physical Therapy GroupGroup PAC ID 8820172984, 46 clinicians
Summit Rehabilitation PLLCGroup PAC ID 9133012362, 54 clinicians
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

1347 Auburn Way N
Auburn, WA 98002-4110
Phone (253) 553-2415

17223 Avondale Way NE
Redmond, WA 98052-4411
Phone (425) 403-0232

18100 NE Union Hill Rd
Suite 310
Redmond, WA 98052-3330
Phone (425) 285-5617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
304277CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Rehabilitation PLLC CurrentSince Sep 1, 2025 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Dec 6, 2025 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jun 9, 2025 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Dec 6, 2025 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jun 9, 2025 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

1347 Auburn Way N
Auburn, WA 98002
Phone (253) 553-2415

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

345 Kirkland Ave
Kirkland, WA 98033
Phone (425) 307-4018

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327

17223 Avondale Way NE
Redmond, WA 98052
Phone (425) 403-0232

18100 NE Union Hill Rd
Ste 310
Redmond, WA 98052
Phone (425) 285-5617

1215 N McDonald Rd
Ste 102
Spokane Valley, WA 99216
Phone (509) 319-2029

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1528840600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 NE UNION HILL RD STE 310",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523330",
            "telephone_number": "425-285-5617",
            "fax_number": "425-285-7129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2492 Nissen Dr",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "CA",
            "postal_code": "945517704",
            "country_code": "US",
            "telephone_number": "925-980-8130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "JESSICA",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304277",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.