Active NPI
Ann Catherine Boughton, P.T.
- Physical Therapist
- Easton, MD
National Provider Identifier
1740313550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15415
- Practice address
- 610 Dutchmans LN
Easton, MD 21601-3346 - Phone
- (410) 822-4000
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15415 | MD | Primary |
| Physical Therapist | 225100000X | J1-0001650 | DE |
Addresses
Primary practice location
610 Dutchmans LN
Easton, MD 21601-3346
Mailing address
1426 Gilbert Rd
Arnold, MD 21012-2545
Phone (410) 349-2340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15415 | MD | MD | General Practice Dentistry |
| J1-0001650 | DE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740313550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 GILBERT RD",
"city": "ARNOLD",
"state": "MD",
"postal_code": "210122545",
"telephone_number": "410-349-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 DUTCHMANS LN",
"city": "EASTON",
"state": "MD",
"postal_code": "216013346",
"telephone_number": "410-822-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUGHTON",
"first_name": "ANN",
"middle_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "15415",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0001650",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.