Miranda M Boucher
Physical Therapist in Cambridge, Massachusetts
1023620895- Practice location
- 1493 Cambridge St, Cambridge, MA 02139-1047
- Phone
- 617-665-1000
- Fax
- —
- Last updated
- August 28, 2020
Miranda Mara Boucher is a Physical Therapist based in Cambridge, MA. Miranda Mara Boucher practices in Cambridge, MA. The NPI Number for Miranda Mara Boucher is 1023620895 and holds a License No. 25054 (MA). The current practice location address for Miranda Mara Boucher is 1493 Cambridge St, Cambridge, MA 02139-1047 and can be reached out via phone at 617-665-1000.
Provider Profile Details
- NPI Number
- 1023620895
- Provider Name
- Miranda Mara Boucher
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1493 Cambridge St, Cambridge, MA 02139-1047
- Phone Number
- 617-665-1000
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 21, 2020
- Last Update Date
- August 28, 2020
- Certification Date
- August 28, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1493 Cambridge St
Cambridge, MA 02139-1047 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02139-1047
- Phone Number
- 617-665-1000
Provider Business Mailing Address Details
- Address
- 66 White Loaf RD
Southampton, MA 01073-9250 - City
- Southampton
- State
- MA
- Zip
- 01073-9250
- Phone Number
- 413-552-8263
License Information
- License Number
- 25054
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Miranda M Boucher?
The NPI number of Miranda M Boucher is 1023620895. It was assigned on August 21, 2020 and is currently active in the NPPES registry.
What is the specialty of Miranda M Boucher?
Miranda M Boucher is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 25054.
Where does Miranda M Boucher practice?
The practice location is 1493 Cambridge St, Cambridge, MA 02139-1047. The office can be reached at 617-665-1000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023620895 directly on the NPPES registry website.