Active NPIIndividual providerSole proprietor

Alice Boucher, PT, DPT

Physical Therapist in Waterbury Center, Vermont

NPI Number1215643762
Practice location
1945 Shaw Mansion RD, Waterbury Center, VT 05677-8256
Fax
—
Last updated
January 27, 2023

Alice Boucher is a Physical Therapist based in Waterbury Center, VT. Alice Boucher practices in Waterbury Center, VT and has the professional credentials of PT, DPT. The NPI Number for Alice Boucher is 1215643762 and holds a License No. 040.0102990 (VT). The current practice location address for Alice Boucher is 1945 Shaw Mansion RD, Waterbury Center, VT 05677-8256 and can be reached out via phone at 860-921-8394.

Provider Profile Details

NPI Number
1215643762
Provider Name
Alice Boucher
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
1945 Shaw Mansion RD, Waterbury Center, VT 05677-8256
Phone Number
860-921-8394
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 27, 2023
Last Update Date
January 27, 2023
Certification Date
January 27, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1945 Shaw Mansion RD
Waterbury Center, VT 05677-8256
State
Vermont
Zip
05677-8256
Phone Number
860-921-8394
Waterbury Center, VT 05677Get directions →

Provider Business Mailing Address Details

Address
1945 Shaw Mansion RD
Waterbury Center, VT 05677-8256
City
Waterbury Center
State
VT
Zip
05677-8256
Phone Number
860-921-8394

License Information

License Number
040.0102990
License State
VT
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 Alice Boucher, PT, DPT?

The NPI number of Alice Boucher, PT, DPT is 1215643762. It was assigned on January 27, 2023 and is currently active in the NPPES registry.

What is the specialty of Alice Boucher, PT, DPT?

Alice Boucher, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in VT under license number 040.0102990.

Where does Alice Boucher, PT, DPT practice?

The practice location is 1945 Shaw Mansion RD, Waterbury Center, VT 05677-8256. The office can be reached at 860-921-8394 (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 1215643762 directly on the NPPES registry website.

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