JOHN R BOUCHER (NPI# 1457371718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457371718 |
| Entity Type | Individual |
| Full Name | JOHN R BOUCHER |
| Credential | P.T. |
| Practice Address |
1430 W Baddour Pkwy Suite C Lebanon TN 37087-2656 |
| Practice Telephone | 6154531422 |
| Practice Fax Number | 6154531429 |
| Mailing Telephone | 6154531422 |
| Mailing Fax Number | 6154531429 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 05269 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | PHYSICAL THERAPY LICENSE | 05269 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558374538 | John William Boucher | Family Medicine | 1230 7th Ave, Longview, WA 98632-3166 | 2006-08-14 |
| 1578585543 | John K Boucher | Surgery | 111 S 11th Ave, Suite 223, Yakima, WA 98902-3242 | 2006-07-25 |
| Street Address |
1430 W BADDOUR PKWY SUITE C |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-2656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780685743 | Wayne O Wells | Family Medicine | 1430 W Baddour Pkwy, Suite A, Lebanon, TN 37087-2656 | 2005-08-02 |
| 1285994947 | Derrick B Gregory | Dentist | 1430 W Baddour Pkwy, Suite B, Lebanon, TN 37087-2656 | 2012-05-29 |
| 1366733396 | Ashley Guepe Hall | Nurse Practitioner | 1430 W Baddour Pkwy, Suite A, Lebanon, TN 37087-2656 | 2011-04-25 |
| 1548588650 | Lifetime Hearing Clinic, Inc. | Specialist | 1430 W Baddour Pkwy, Suite D, Lebanon, TN 37087-2656 | 2010-05-13 |
| 1174709430 | Impact Physical Therapy, LLC | Physical Therapist | 1430 W Baddour Pkwy, Suite C, Lebanon, TN 37087-2514 | 2008-01-17 |
| 1871775577 | Tenn Sm, LLC | Specialist | 1430 W Baddour Pkwy, Lebanon, TN 37087-2514 | 2007-12-04 |
| 1225159692 | Heather Hancock Dooley | Audiologist | 1430 W Baddour Pkwy, Suite D, Lebanon, TN 37087-2656 | 2007-04-03 |
| 1063487551 | Keely Elaine Metzger | Physician Assistant | 1430 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-2514 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1720692692 | Mackenzie Weiss | Physical Therapist | 1390 Route 22 West, Suite 203, Lebanon, NJ 08833 | 2020-09-08 |
| 1861003634 | Kattya Palacios | Physical Therapist | 840 Helen Dr Ste 200, Lebanon, PA 17042-7456 | 2020-08-13 |
| 1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
| 1275015778 | Petrus Leonard Dings | Physical Therapist | 2705 N Lebanon St Ste 105, Lebanon, IN 46052-8622 | 2018-08-30 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1164923462 | Alison Hartman | Physical Therapist | 1250 Route 31 North, Lebanon, NJ 08833 | 2018-02-22 |
| 1376926840 | Kathryn Mccloud | Physical Therapist | 163 Business Park Drive, Lebanon, TN 37090 | 2015-07-02 |
| 1215326798 | Jennifer Gay Jensen | Physical Therapist | 446 E Mulberry St, Lebanon, OH 45036-2241 | 2015-01-21 |
| 1194123174 | Lindsay Ferguson | Physical Therapist | 2105 Manor Dr, Lebanon, IN 46052-1324 | 2014-12-08 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on JOHN R BOUCHER.
| 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.