Mr. Edward J Boudreau, PT, OCS
Physical Therapist, Orthopedic in Lexington, Massachusetts
1043395007- Practice location
- 16 Hayden Ave, Lexington, MA 02421-7929
- Phone
- 781-372-7000
- Fax
- —
- Last updated
- October 21, 2019
Edward J Boudreau is a Physical Therapist, Orthopedic based in Lexington, MA. Edward J Boudreau practices in Lexington, MA and has the professional credentials of PT, OCS. The NPI Number for Edward J Boudreau is 1043395007 and holds a License No. 33177 (CA). The current practice location address for Edward J Boudreau is 16 Hayden Ave, Lexington, MA 02421-7929 and can be reached out via phone at 781-372-7000.
Provider Profile Details
- NPI Number
- 1043395007
- Provider Name
- Edward J Boudreau
- Credential
- PT, OCS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 16 Hayden Ave, Lexington, MA 02421-7929
- Phone Number
- 781-372-7000
- Primary Taxonomy
- Physical Therapist, Orthopedic · 2251X0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 26, 2006
- Last Update Date
- October 21, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16 Hayden Ave
Lexington, MA 02421-7929 - City
- Lexington
- State
- Massachusetts
- Zip
- 02421-7929
- Phone Number
- 781-372-7000
Provider Business Mailing Address Details
- Address
- 131 Collins St
Danvers, MA 01923-3537 - City
- Danvers
- State
- MA
- Zip
- 01923-3537
- Phone Number
- 978-766-0880
License Information
- License Number (1)
- 33177
- License State (1)
- CA
- Taxonomy (1)
- Physical Therapist, Orthopedic · 2251X0800X
- License Number (2)
- 15110
- License State (2)
- MA
- Taxonomy (2)
- Physical Therapist, Orthopedic · 2251X0800X · 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 Mr. Edward J Boudreau, PT, OCS?
The NPI number of Mr. Edward J Boudreau, PT, OCS is 1043395007. It was assigned on October 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Edward J Boudreau, PT, OCS?
Mr. Edward J Boudreau, PT, OCS is registered under the primary taxonomy Physical Therapist, Orthopedic (code 2251X0800X), licensed in CA under license number 33177.
Where does Mr. Edward J Boudreau, PT, OCS practice?
The practice location is 16 Hayden Ave, Lexington, MA 02421-7929. The office can be reached at 781-372-7000 (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 1043395007 directly on the NPPES registry website.