Brenda Kent Boucher, PT, PHD,

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1032365 Issued in TX

Practice address

1324 Common St Ste 307
New Braunfels, TX 78130-3566

Phone

(830) 625-7310

Fax

(830) 625-3228

NPI assigned

Aug 30, 2006

Last updated

May 27, 2008By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Texas Physical Therapy Specialists, Inc.

  dba Texas Physical Therapy Specialists

  • Physical Therapist
  • New Braunfels, TX
  • NPI 1689781338
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1609985829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 COMMON ST STE 307",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303566",
            "telephone_number": "830-625-7310",
            "fax_number": "830-625-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 COMMON ST STE 307",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303566",
            "telephone_number": "830-625-7310",
            "fax_number": "830-625-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "BRENDA",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "PT, PHD,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1032365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8T6192",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Bordon, LCSW
• Judith Anne Borger, D.C.
• Jessica Nicole Borghini, RBT
• Ginger Cuba Borman, B.S. PHARMACY
• Rahul Bose, MD
• Brittany Bowen
• Bower Central Texas Imaging Limited
• Samantha Wright Bowman, MS, RDN
• Yvette Bowman, LVN
• Mesha D'Lynn Box, F.N.P.

• Physical Therapist in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.