Bouchard Physical Therapy Services Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BOUCHARD PHYSICAL THERAPY SERVICES INC

Practice address

149 Silver St
Waterville, ME 04901-5813

Phone

(207) 873-4638

Fax

(207) 873-1541

NPI assigned

Oct 17, 2005

Last updated

Feb 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jane E Chapman

Title

Administrator

Phone

(207) 622-9467

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer B Dodge, P.T.

  • Physical Therapist
  • Brunswick, ME
  • NPI 1184710618
  NPD (past)
• Anna G Staehli Wiser, PT

  • Physical Therapist
  • Skowhegan, ME
  • NPI 1477858215
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1881683431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 RIVERSIDE DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304162",
            "telephone_number": "207-622-9467",
            "fax_number": "207-623-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015813",
            "telephone_number": "207-873-4638",
            "fax_number": "207-873-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUCHARD PHYSICAL THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-622-9467",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123920000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Marie Bonsey, R.PH., M.P.H, BCPS
• Mary Anne F Booth, M.A., CCC-A
• Jonathan M Borkum, PHD
• Jon E Boschen, LCSW
• Bosse Family Chiropractic & Wellness, P.a.
• Susan A Bouchard, DSW, MSW
• Kaitlyn Boudreau, LCSW
• Morgan Mae Bourgoin
• Earlyn Kelley Bowers, LCPC
• Deirdre Finney Boylan, LCSW

• Physical Therapist in Waterville, ME
• Providers in Waterville, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.