KERRY MICHELLE BODUCH


Address: 2500 Nw 229th Ave Bldg E, Ste 200, Hillsboro, OR 97124-7516
Phone: 5033953000

KERRY MICHELLE BODUCH (NPI# 1629484217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629484217
Entity Type Individual
Full Name KERRY MICHELLE BODUCH
Credential PT
Practice Address 2500 Nw 229th Ave Bldg E
Ste 200
Hillsboro
OR 97124-7516
Mailing Address 790 Remington Blvd
Bolingbrook
IL 60440-4909
Practice Telephone 5033953000
Practice Fax Number 5033360464
Mailing Telephone 6302962223
Mailing Fax Number 6307599510
Enumeration Date 2014-07-03
Last Update Date 2016-07-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225100000X Physical Therapist 61167 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225100000X Physical Therapist 1244700 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX LICENSE # 1244700 01

Office Location

Street Address 2500 NW 229TH AVE BLDG E
STE 200
City HILLSBORO
State OR
Zip Code 97124-7516

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790911667 Isaac Cowart Physical Medicine & Rehabilitation 2500 Nw 229th Ave Bldg E, Suite 200, Hillsboro, OR 97124-7516 2009-06-05
1114382983 Jonathon Lee Physical Therapist 2500 Nw 229th Ave Bldg E, Suite 200, Hillsboro, OR 97124-7516 2015-12-22
1972900496 Kaitlin Ringquist Physical Therapist 2500 Nw 229th Ave Bldg E, Suite 200, Hillsboro, OR 97124-7516 2014-11-26
1861896185 Jason Bouwkamp Physical Therapist 2500 Nw 229th Ave Bldg E, Suite 200, Hillsboro, OR 97124-7516 2014-10-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538705322 Pamela Anne Martin Registered Nurse 2875 Nw Stucki Pl, Hillsboro, OR 97124 2019-11-27
1912548892 Donnia Mae Schwarz Behavior Technician 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 2019-10-02
1609305036 Catherine Lydon Registered Nurse 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 2017-06-08
1376092163 Michael Han Pharmacist 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 2016-09-22
1760868459 Voices Set Free Community/Behavioral Health 254 North 1st Ave., Hillsboro, OR 97124 2015-08-04
1871980151 Kevin Kar Fai Cheng Dentist 7206 Ne Cornell Rd, Hillsboro, OR 97124 2015-04-23
1336530047 Maegan Lee Mcglone Behavioral Analyst 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 2015-02-17
1588095772 Hillsboro Modern Dentistry, PC Dentist 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 2013-12-12
1275977043 Dana Hazell Massage Therapist 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 2013-04-24
1679816771 Candice May Doyle Massage Therapist 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 2013-03-27
Find all providers in zip 97124

Taxonomy Information

Taxonomy Code 225100000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist

Taxonomy Definition

(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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235738972 Tyler Chad Anderson Physical Therapist 701 3rd Ave Ne, Hillsboro, ND 58045-4618 2020-10-23
1790395119 Sparrow Communication Services, LLC Physical Therapist 967 Ne Orenco Station Loop Apt 550, Hillsboro, OR 97124-7495 2020-08-01
1851916241 Gabriel Lawrence Physical Therapist 2973 Se 79th Ave., Hillsboro, OR 97123 2020-06-11
1861045213 Colleen Wesel Physical Therapy LLC Physical Therapist 3000 Ne Stucki Ave Ste 230p, Hillsboro, OR 97124-7107 2019-07-24
1740848613 Jose Sanchez Physical Therapist 2011 Ne 10th Ave, Hillsboro, OR 97124-1709 2019-06-04
1134691504 Matthew Douglas Peacock Physical Therapist 104 Interstate Highway 35 Ne, Suite 181, Hillsboro, TX 76645 2018-12-26
1750868717 Nicholas Jeremy Mason Physical Therapist 2500 Ne Century Blvd Ste 200, Hillsboro, OR 97124-7516 2018-07-23
1104339241 Denise Lyn Martin Physical Therapist 10679 Business 21, Hillsboro, MO 63050-5094 2017-11-12
1467990978 Michaela Bailey Physical Therapist 1566 Se Pelton Ct, Hillsboro, OR 97123-2930 2017-02-03
1093263170 Trinh Viet Le Physical Therapist 3289 Ne 3rd Ave, Hillsboro, OR 97124-1588 2016-09-16
Find all providers in HILLSBORO

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City HILLSBORO
Zip Code 97124

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Dataset Information

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.

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