Susan Leigh Bouchard, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2769 Issued in MA

Practice address

60 Lawrence St
Haverhill, MA 01830-4034

Phone

(978) 697-4796

NPI assigned

Jan 5, 2024

Last updated

Jan 5, 2024By 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

State licenses

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.

• Thrive Rehab Services, PLLC

  • Physical Therapy Assistant
  • Haverhill, MA
  • NPI 1639945751
  NPD

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1932979309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LAWRENCE ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018304034",
            "telephone_number": "978-697-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LAWRENCE ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018304034",
            "telephone_number": "978-697-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "SUSAN",
        "middle_name": "LEIGH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "2769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fran Boland, CCC-SLP
• Sherri Bolognese, PA
• Andy Bonifacio
• Morgan A Bosworth
• Rhiannon Mairead Bouchard, LICSW
• Danielle Boucher, BC-PMHNP
• Krista Boucher
• Paula Boulanger, M.D.
• Stephen Francis Boy, PHD
• Rebecca Lynn Boyer, MD

• Physical Therapy Assistant in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.