Brendan Robert Boucher, DPT, PT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL27945 Issued in MA

Practice address

70 Main St
Florence, MA 01062-1466

Phone

(413) 586-8400

Fax

(866) 644-0872

NPI assigned

Apr 16, 2013

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Male

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

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Medical Group PCGroup PAC ID 2365348851, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brendan.boucher.1@55.direct.athenahealth.com

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.

• Valley Medical Group, P.C.

  dba Valley Medical Group PT

  • Physical Therapist
  • Greenfield, MA
  • NPI 1558406512
  Medicare reassignment Care Compare group NPD
• Valley Medical Group, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Easthampton, MA
  • NPI 1982738118
  NPD

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1871936211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621466",
            "telephone_number": "413-586-8400",
            "fax_number": "866-644-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621466",
            "telephone_number": "413-586-8400",
            "fax_number": "866-644-0872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 Northampton St",
            "address_purpose": "LOCATION",
            "city": "Easthampton",
            "state": "MA",
            "postal_code": "010271046",
            "country_code": "US",
            "telephone_number": "413-529-9300",
            "fax_number": "866-644-0870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Hall Dr",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "MA",
            "postal_code": "010022751",
            "country_code": "US",
            "telephone_number": "413-256-8561",
            "fax_number": "866-644-0869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "329 Conway St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "013011521",
            "country_code": "US",
            "telephone_number": "413-774-6301",
            "fax_number": "866-644-0871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "BRENDAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPT, PT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL27945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Blanchard, NP
• Bruce S Bleiman, M.D.
• Naomi Graybill Bliss, RN
• Yotam Block, PA-C
• Kyle Edward Botti
• Shoshanna D Brady, LCSW
• Jane M Brodwyn, PSY.D
• Ashley Brown, MD
• Emil Barrett Brown
• Jennifer Brown

• Physical Therapist in Florence, MA
• Providers in Florence, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.