Dr. Brendan R Boucher, DPT, PT, CSCS
Physical Therapist in Florence, Massachusetts
1871936211- Practice location
- 70 Main St, Florence, MA 01062-1466
- Phone
- 413-586-8400
- Fax
- 866-644-0872
- Last updated
- September 18, 2024
Brendan Robert Boucher is a Physical Therapist based in Florence, MA. Brendan Robert Boucher practices in Florence, MA and has the professional credentials of DPT, PT, CSCS. The NPI Number for Brendan Robert Boucher is 1871936211 and holds a License No. PTL27945 (MA). The current practice location address for Brendan Robert Boucher is 70 Main St, Florence, MA 01062-1466 and can be reached out via phone at 413-586-8400 and via fax at 866-644-0872.
Provider Profile Details
- NPI Number
- 1871936211
- Provider Name
- Brendan Robert Boucher
- Credential
- DPT, PT, CSCS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 70 Main St, Florence, MA 01062-1466
- Phone Number
- 413-586-8400
- Fax Number
- 866-644-0872
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 16, 2013
- Last Update Date
- September 18, 2024
- Certification Date
- September 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 70 Main St
Florence, MA 01062-1466 - City
- Florence
- State
- Massachusetts
- Zip
- 01062-1466
- Phone Number
- 413-586-8400
- Fax Number
- 866-644-0872
Provider Business Mailing Address Details
- Address
- 70 Main St
Florence, MA 01062-1466 - City
- Florence
- State
- MA
- Zip
- 01062-1466
- Phone Number
- 413-586-8400
- Fax Number
- 866-644-0872
License Information
- License Number
- PTL27945
- 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 Dr. Brendan R Boucher, DPT, PT, CSCS?
The NPI number of Dr. Brendan R Boucher, DPT, PT, CSCS is 1871936211. It was assigned on April 16, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Brendan R Boucher, DPT, PT, CSCS?
Dr. Brendan R Boucher, DPT, PT, CSCS is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number PTL27945.
Where does Dr. Brendan R Boucher, DPT, PT, CSCS practice?
The practice location is 70 Main St, Florence, MA 01062-1466. The office can be reached at 413-586-8400 (phone) or 866-644-0872 (fax).
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 1871936211 directly on the NPPES registry website.