ANN MARIE BOUCHARD (NPI# 1780911982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780911982 |
| Entity Type | Individual |
| Full Name | ANN MARIE BOUCHARD |
| Practice Address |
6165 E Bristol Rd Burton MI 48519-1738 |
| Practice Telephone | 5179832253 |
| Practice Fax Number | 8106950888 |
| Mailing Telephone | 5179832253 |
| Mailing Fax Number | 8106950888 |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2009-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6165 E BRISTOL RD |
| City | BURTON |
| State | MI |
| Zip Code | 48519-1738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1821621830 | Leora Sharon Hughes | Massage Therapist | 2065 S. Center Road, Burton, MI 48519 | 2020-02-18 |
| 1598249492 | Kayvon Anthony Parvizi | Pharmacist | G-2333 Center Rd, Burton, MI 48519 | 2018-09-18 |
| 1417441551 | Hurley Medical Center | Clinic/Center | 2065 S. Center Rd., Burton, MI 48519 | 2018-06-21 |
| 1851522684 | Joyce Ann Brantley | Chore Provider | 6097 Surrey Lane, Burton, MI 48519 | 2009-07-28 |
| 1992917157 | Steven J Neirink, Dpm, PC | Podiatrist | 3014 South Genesee Road, Burton, MI 48519 | 2007-05-03 |
| 1407986813 | Ellen Johnson | Psychiatry & Neurology | 4165 E Lippincott Blvd, Burton, MI 48519 | 2007-03-06 |
| 1477692036 | Meijer Inc | Durable Medical Equipment & Medical Supplies | G-2333 South Center Rd, Burton, MI 48519 | 2007-02-06 |
| 1639225923 | Trina Floyd | Dentist | 4085 S. Center Rd., Suite #2, Burton, MI 48519 | 2007-01-27 |
| 1538222823 | Genesee Family Care PC | Family Medicine | 3020 South Genesee Rd, Burton, MI 48519 | 2006-12-18 |
| Find all providers in zip 48519 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006728 | Tara Ann Fedewa | Recreation Therapist | 915 Laurelwood Dr, Lansing, MI 48917-7725 | 2020-09-08 |
| 1225651714 | Caroline Rose Marcon | Recreation Therapist | 15227 Payne Ct, Dearborn, MI 48126-3030 | 2020-05-19 |
| 1205469897 | Megan Groat | Recreation Therapist | 914 Lake Dr, Oxford, MI 48371-5716 | 2020-02-21 |
| 1215560040 | Ashley Melyn Phelps | Recreation Therapist | 6714 Northland Dr Ne, Rockford, MI 49341-9201 | 2020-02-20 |
| 1538708680 | Caylie Hosey | Recreation Therapist | 54749 Flamingo Dr, Shelby Twp, MI 48315-1347 | 2020-01-06 |
| 1205480472 | Keilahna Castillo | Recreation Therapist | 4476 Versatile Ct Sw, Wyoming, MI 49418-8773 | 2019-07-26 |
| 1134789514 | Cynthia Guzi | Recreation Therapist | 4469 Lutz Dr, Warren, MI 48092-1750 | 2019-06-18 |
| 1780244160 | Derenda Lefevre | Recreation Therapist | 3724 Noble Rd, Oxford, MI 48370-1514 | 2019-06-18 |
| 1407416886 | Jenna Black | Recreation Therapist | 28328 N Skye Dr, Farmington Hills, MI 48334-5335 | 2019-06-18 |
| 1225698608 | Carly Jane Rhodea | Recreation Therapist | 6906 Severance Rd, Cass City, MI 48726-9202 | 2019-06-18 |
| Find all providers with the same taxonomy | ||||
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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.