MR. EDWARD J BOUDREAU (NPI# 1043395007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043395007 |
| Entity Type | Individual |
| Full Name | MR. EDWARD J BOUDREAU |
| Credential | PT, OCS |
| Practice Address |
16 Hayden Ave Lexington MA 02421-7929 |
| Mailing Address |
131 Collins St Danvers MA 01923-3537 |
| Practice Telephone | 7813727000 |
| Mailing Telephone | 9787660880 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2019-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
33177 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
15110 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427143981 | Edward John Boudreau | Chiropractor | 3410 W Wendover Ave Ste A, Greensboro, NC 27407-1585 | 2006-10-03 |
| 1528014461 | Edward David Boudreau | Emergency Medicine | 500 S Cleveland Ave, Westerville, OH 43081-8971 | 2006-05-25 |
| Street Address |
16 HAYDEN AVE |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02421-7929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598716862 | Daniel Frank Erler | Internal Medicine | 16 Hayden Ave, Lahey Lexington, Lexington, MA 02421-7929 | 2006-05-12 |
| 1841825999 | Janet M Sjostedt | Occupational Therapist | 16 Hayden Ave, Lexington, MA 02421-7929 | 2020-03-10 |
| 1730710740 | Benjamin M Grundy | Occupational Therapist | 16 Hayden Ave, Lexington, MA 02421-7929 | 2020-01-29 |
| 1851721427 | Shehra Khalifa | Physical Therapist | 16 Hayden Ave, Lexington, MA 02421-7929 | 2013-11-19 |
| 1558709477 | Jessica A Krass | Nurse Practitioner | 16 Hayden Ave, Lahey Health Primary, Lexington, Lexington, MA 02421-7929 | 2013-06-13 |
| 1114209160 | Stephanie Nichole Burns | Physical Therapist | 16 Hayden Ave, Lahey Lexington, Lexington, MA 02421-7929 | 2011-09-15 |
| 1588999841 | Kristen Jalbert Delpaine | Physical Therapist | 16 Hayden Ave, Lahey Clinic, Lexington, MA 02421-7929 | 2009-10-05 |
| 1437380839 | Joel Bennett Melville | Physical Therapist | 16 Hayden Ave, Lexington, MA 02421-7929 | 2009-08-03 |
| 1841438389 | Kathryn M Wipke | Physical Therapist | 16 Hayden Ave, Lexington, MA 02421-7929 | 2009-01-21 |
| 1821209586 | Kerry A. Fagan | Physical Therapist | 16 Hayden Ave, Lahey Lexington, Lexington, MA 02421-7929 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149300 | Streettherapy,llc | Counselor | Triad Adolescent Services, 363 Mass. Ave., Suite204, Lexington, MA 02421 | 2019-11-20 |
| 1598249922 | Kelly Sexton | Social Worker | Labbb Collaborative Lexington High School, 251 Waltham St, MA 02421 | 2018-09-21 |
| 1538641956 | Jill Or Planeta | Social Worker | 40 Taft Ave, Lexington, MA 02421 | 2018-09-01 |
| 1902390388 | Erika Yaneth Valek | Counselor | 125 Hartwell Avenue, Lexington, MA 02421 | 2018-06-19 |
| 1366743668 | Elizabeth Ann Murphy | Social Worker | 17 Stedman Rd, Lexington, MA 02421 | 2010-11-03 |
| 1003045063 | Nils Becker | Pathology | 1 Cranberry Hill Ste 303, Lexington, MA 02421 | 2009-07-10 |
| 1780829556 | Lynn Joan Meltzer | Psychologist | Institute for Learning and Development, 4 Militia Drive, Lexington, MA 02421 | 2008-12-09 |
| 1962666511 | Kristin Stanley Rullo | Optometrist | 21 Worthen Road, Lexington, MA 02421 | 2008-07-14 |
| 1861660201 | Jillian S Imagire | Radiology | Concert Pharmaceuticals, 99 Hayden Ave, Suite 100, Lexington, MA 02421 | 2008-02-20 |
| 1144498049 | Lexington Dental Associates | Dentist | 271 Lincoln Street, Suite 2, Lexington, MA 02421 | 2008-02-13 |
| Find all providers in zip 02421 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421298 | Whitney Jo Ressett | Physical Therapist | 216 Fountain Ct Ste 201, Lexington, KY 40509-2730 | 2020-09-14 |
| 1962884452 | Jonathan Leigh Breeden | Physical Therapist | 148 Ridge Terrace Ln, Lexington, SC 29073-6878 | 2015-06-22 |
| 1013515212 | Lexington Health Inc | Physical Therapist | 811 W Main St Ste 205, Lexington, SC 29072-2500 | 2020-10-12 |
| 1104346519 | Lindsay Sutera | Physical Therapist | 337 W Church St, Lexington, TN 38351-2096 | 2017-06-27 |
| 1619416559 | Henry Dulin White II | Physical Therapist | 110 Conn Ter, Lexington, KY 40508-3206 | 2017-02-13 |
| 1982065579 | Jennifer Gwen Evans | Physical Therapist | 1900 Richmond Road, Lexington, KY 40502-1204 | 2016-03-10 |
| 1699130583 | Shelley W. Ryan | Physical Therapist | 1900 Richmond Rd, Lexington, KY 40502-1204 | 2015-12-21 |
| 1144685033 | Tia Michelle Roush Caldwell | Physical Therapist | 1900 Richmond Rd, Lexington, KY 40502-1204 | 2015-12-21 |
| 1104298082 | Timothy Keith Cupp | Physical Therapist | 1900 Richmond Rd, Lexington, KY 40502-1204 | 2015-10-30 |
| 1891055059 | Kristofer M Kendrick | Physical Therapist | 4101 Tates Creek Centre Dr Ste 144, Lexington, KY 40517-3068 | 2012-05-22 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.