Active NPI
Jennifer Marie Boudreau, P.T.
- Physical Therapist
- Tequesta, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT42213
- Practice address
- 138 Magnolia Way
Tequesta, FL 33469-2132 - Phone
- (732) 371-8980
- NPI assigned
- Apr 6, 2007
- Last updated
- Aug 14, 2024
- 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 | PT42213 | FL | Primary |
| Physical Therapist | 225100000X | 40QA00811400 | NJ |
Addresses
Primary practice location
138 Magnolia Way
Tequesta, FL 33469-2132
Mailing address
138 Magnolia Way
Tequesta, FL 33469-2132
Phone (732) 371-8980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, FL
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.26 of 100
- Quality
- 86.58
- Improvement activities
- 40
- Cost
- 68.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT42213 | FL | MD | Physical Therapist |
| 40QA00811400 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc. | Physical Therapist | Current | Accepting new patients |
| Prime Physical Therapy & Sports Care LLC | Physical Therapist | Current | Accepting new patients |
| Atlantic Physical Therapy Center | Current | Accepting new patients | |
| Ivyrehab Network, Inc. | Physical Therapist | Current | Accepting new patients |
| Atlantic Physical Therapy Center | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc | Physical Therapist | Current | Accepting new patients |
Locations
5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627
731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780
160 White Rd
Ste 104
Little Silver, NJ 07739
Phone (732) 383-8295
1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800
127 Ark Rd
Ste 23
Mount Laurel, NJ 08054
Phone (609) 714-7730
2005 State Route 35
Ste 21
Oakhurst, NJ 07755
Phone (732) 240-9296
1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 784-6545
1131 Broad St
Ste 301
Shrewsbury, NJ 07702
Phone (732) 440-1596
656 Shrewsbury Ave
Ste 103
Tinton Falls, NJ 07701
Phone (732) 842-4198
1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749
Organizations & group practices 7
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.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1114542032
-
- Orthopedic Physical Therapist
- Toms River, NJ
- NPI 1801857917
-
- Physical Therapist
- Hoboken, NJ
- NPI 1174577274
-
- Hand Occupational Therapist
- Oakhurst, NJ
- NPI 1659945228
-
- Physical Therapist
- Hoboken, NJ
- NPI 1861623753
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
Physical Therapist
-
- Orthopedic Physical Therapist
- Little Silver, NJ
- NPI 1639642374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1891818936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 MAGNOLIA WAY",
"city": "TEQUESTA",
"state": "FL",
"postal_code": "334692132",
"telephone_number": "732-371-8980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 MAGNOLIA WAY",
"city": "TEQUESTA",
"state": "FL",
"postal_code": "334692132",
"telephone_number": "732-371-8980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUDREAU",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT42213",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00811400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tequesta, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.