MRS. MICHELE LEE BOUDREAU (NPI# 1891866315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891866315 |
| Entity Type | Individual |
| Full Name | MRS. MICHELE LEE BOUDREAU |
| Credential | PT |
| Practice Address |
303 Park St Belmont NC 28012-3367 |
| Mailing Address |
936 Sparrows Nest Ln Pineville NC 28134-8846 |
| Practice Telephone | 7048299800 |
| Mailing Telephone | 7043414247 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
8187 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
303 PARK ST |
| City | BELMONT |
| State | NC |
| Zip Code | 28012-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689773624 | Clemson Sports Medicine and Rehabilitation, Inc | Clinic/Center | 303 Park St, Belmont, NC 28012-3367 | 2006-09-22 |
| 1003048661 | Sports Plus | Durable Medical Equipment & Medical Supplies | 303 Park St, Belmont, NC 28012-3367 | 2009-08-17 |
| 1710058854 | Jennifer Frey Zvanut | Physical Therapist | 303 Park St, Belmont, NC 28012-3367 | 2006-11-12 |
| 1780769356 | Chad Martin Silverstrim | Physical Therapy Assistant | 303 Park St, Belmont, NC 28012-3367 | 2006-10-25 |
| 1588746473 | Ryan D Bowllan | Physical Therapist | 303 Park St, Belmont, NC 28012-3367 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447873 | Lisa Emi Mclemore | Technician | 704 Armstrong Rd, Belmont, NC 28012 | 2019-10-02 |
| 1902453244 | Eli Zipkin | Dentist | 965 South Point Road, Belmont, NC 28012 | 2019-08-21 |
| 1457879892 | Sharon H Miller | Acupuncturist | 684 Park St, Belmont, NC 28012 | 2017-09-06 |
| 1083138242 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 905 South Point Rd, Belmont, NC 28012 | 2017-07-31 |
| 1285079533 | Edoardo Pate | Chiropractor | 6021 W Wilkinson Blvd, Belmont, NC 28012 | 2013-04-30 |
| 1023367430 | Abby C Blowe Dds Pa | Dentist | 8024 Water View Drive, Belmont, NC 28012 | 2012-08-30 |
| 1972885598 | Michelle Marie Watkins | Counselor | 32 N Main St Ste 204, Belmont, NC 28012 | 2011-09-10 |
| 1598050791 | Lauren Swafford | Pharmacist | 6750 Wilkinson Boulevard, Belmont, NC 28012 | 2011-06-15 |
| 1316264831 | Evelyn Maiers Bailey | Respiratory Therapist, Certified | 230 River Loop Rd, Belmont, NC 28012 | 2010-04-23 |
| 1376866079 | Metrolina Psychotherapy Associates P.a. | Social Worker | 1212 Spruce St., Suite 315, Belmont, NC 28012 | 2010-03-09 |
| Find all providers in zip 28012 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619064821 | Fm Physical Therapy | Physical Therapist | 587 Kingston Rd, Belmont, CA 94002-2319 | 2006-10-08 |
| 1710058854 | Jennifer Frey Zvanut | Physical Therapist | 303 Park St, Belmont, NC 28012-3367 | 2006-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003438292 | Letizia B Migliaccio | Physical Therapist | 3726 Battleground Ave # B, Greensboro, NC 27410-2344 | 2020-05-11 |
| 1396371787 | Teresa Blake Robertson Elder | Physical Therapist | 120 Grandview Ave, Brevard, NC 28712-4727 | 2020-03-17 |
| 1821650367 | Peak Pelvic Health Physical Therapy, LLC | Physical Therapist | 160 Macgregor Pines Dr Ste 101, Cary, NC 27511-6037 | 2019-07-05 |
| 1679132690 | Demario Sharrod Lewis | Physical Therapist | 200 W Woodcroft Pkwy Apt 62b, Durham, NC 27713-8086 | 2019-06-12 |
| 1679032866 | David James Lawton | Physical Therapist | 101 E W T Harris Blvd Ste 5001, Charlotte, NC 28262-3574 | 2019-03-18 |
| 1497211643 | Mackenzie Gilliss | Physical Therapist | 703 N Us 29 Hwy, China Grove, NC 28023-2617 | 2019-02-13 |
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1730658253 | Smart Athlete Physiotherapy, LLC | Physical Therapist | 1017 E Whitaker Mill Rd, Raleigh, NC 27608-2757 | 2018-11-14 |
| 1366927659 | Judy Larose Foxworth | Physical Therapist | 601 S Mlk Jr Drive F L Atkins Bldg Rm 333, Winston Salem, NC 27110-0001 | 2018-10-02 |
| 1063905065 | Gabriela Perez | Physical Therapist | 5920 Sandy Forks Rd, Raleigh, NC 27609-3814 | 2018-06-13 |
| 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.