Barbara Boucher, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002956 Issued in CT

Practice address

843 Bolton Rd
U1249
Storrs Mansfield, CT 06269-1249

Phone

(860) 486-8080

Fax

(860) 486-8081

NPI assigned

Jul 29, 2010

Last updated

Jul 29, 2010By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• University of Connecticut

  dba University of Connecticut Speech & Hearing Clinic

  • Audiologist
  • Storrs, CT
  • NPI 1114011830
  NPD (past)
• University of Connecticut

  dba Nayden Rehabilitation Clinic

  • Physical Therapy Clinic/Center
  • Storrs Mansfield, CT
  • NPI 1639225410
  NPD (past)

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1851605067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 BOLTON RD",
            "address_2": "U1249",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062691249",
            "telephone_number": "860-486-8080",
            "fax_number": "860-486-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 BOLTON RD",
            "address_2": "U1249",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062691249",
            "telephone_number": "860-486-8080",
            "fax_number": "860-486-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "BARBARA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "002956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia M Baker, LCSW
• Susan Bartlett, MA
• Rebecca Barton, LPC
• Erica Thompson Baumgartner, ATC
• Alexis Bermudez, LPN
• Brian P Batherson (Batherson Chiropractic Wellness Center)
• Paul K. Canavan, P.T.
• Louis G Cano, D.D.S.
• Maryclaire Sullivan Capetta, P.T.
• Wendy Marshall Chase, MA, CCC-SLP

• Physical Therapist in Storrs Mansfield, CT
• Providers in Storrs Mansfield, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.