Marcy Ann Boughton, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011355 Issued in MI

Practice address

350 N Main St
Chelsea, MI 48118-1280

Phone

(734) 277-2468

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Services of Chelsea, LLCGroup PAC ID 3375541360, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physical Therapy Services of Chelsea, LLC

  • Physical Therapist
  • Chelsea, MI
  • NPI 1467464206
  Medicare reassignment Care Compare group NPD
• Physical Therapy Services of West Michigan LLC

  • Physical Therapist
  • Kalamazoo, MI
  • NPI 1508895806
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1730191578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 CHANDLER ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181528",
            "telephone_number": "734-475-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N MAIN ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181280",
            "telephone_number": "734-277-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUGHTON",
        "first_name": "MARCY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluwaters Dry Eye Spa, PLLC
• Mellissa Boland, OTR
• Ellen Catherine Bonczyk-Duce, PT
• Margaret McInroy Boshoven, MA
• James Herbert Botsford, M.D.
• Kristin J Bowlby, PT
• Duane Boyd
• Kathleen Boyer
• Jason Lehan Boylan, NP
• Katharine Bracken, LCSW

• Physical Therapist in Chelsea, MI
• Providers in Chelsea, 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 20, 2007; 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.