Active NPIIndividual provider

Mr. Matthew J Bouchard, DPT

Physical Therapist in Bangor, Maine

NPI Number1174820518
Practice location
404 State St, Suite #610, Bangor, ME 04401-6623
Fax
—
Last updated
February 21, 2011

Matthew Joseph Bouchard is a Physical Therapist based in Bangor, ME. Matthew Joseph Bouchard practices in Bangor, ME and has the professional credentials of DPT. The NPI Number for Matthew Joseph Bouchard is 1174820518 and holds a License No. PT3456 (ME). The current practice location address for Matthew Joseph Bouchard is 404 State St, Suite #610, Bangor, ME 04401-6623 and can be reached out via phone at 207-947-8381.

Provider Profile Details

NPI Number
1174820518
Provider Name
Matthew Joseph Bouchard
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
404 State St, Suite #610, Bangor, ME 04401-6623
Phone Number
207-947-8381
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
February 21, 2011
Last Update Date
February 21, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
404 State St
Suite #610
Bangor, ME 04401-6623
City
Bangor
State
Maine
Zip
04401-6623
Phone Number
207-947-8381
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
27 Airport RD
Enfield, ME 04493-4455
City
Enfield
State
ME
Zip
04493-4455
Phone Number
207-659-2258

License Information

License Number
PT3456
License State
ME
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Matthew J Bouchard, DPT?

The NPI number of Mr. Matthew J Bouchard, DPT is 1174820518. It was assigned on February 21, 2011 and is currently active in the NPPES registry.

What is the specialty of Mr. Matthew J Bouchard, DPT?

Mr. Matthew J Bouchard, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in ME under license number PT3456.

Where does Mr. Matthew J Bouchard, DPT practice?

The practice location is 404 State St, Suite #610, Bangor, ME 04401-6623. The office can be reached at 207-947-8381 (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 1174820518 directly on the NPPES registry website.

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