Casey A Boutillier (NPI# 1275904690, PAC ID# 1951602481) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1275904690 |
| PAC ID by PECOS | 1951602481 |
| Professional Enrollment ID | I20151229000310 |
| Full Name | Casey A Boutillier |
| Organization Legal Name | JAG-ONE PHYSICAL THERAPY LLC |
| Address |
244 Route 46 E Fairfield NJ 07004-2332 |
| Phone Number | 8627023420 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2769584325 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 50 Mount Prospect Ave, Suite 206, Clifton, NJ 07013-1900 | 2014644749 | JAG-ONE PHYSICAL THERAPY LLC |
| 244 Route 46 E, Fairfield, NJ 07004-2332 | 8627023420 | JAG-ONE PHYSICAL THERAPY LLC |
| 622 Eagle Rock Ave, West Orange, NJ 07052-2994 | 9736690078 | JAG-ONE PHYSICAL THERAPY LLC |
| Organization Legal Name | JAG-ONE PHYSICAL THERAPY LLC |
| Physicians | 61 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Willmann | Physical Therapy | Jag-one Physical Therapy LLC | 34 Mountain Blvd, Warren, NJ 07059-2640 |
| Glenn V Forsyth | Physical Therapy | Jag-one Physical Therapy LLC | 50 Mount Prospect Ave, Suite 206, Clifton, NJ 07013-1900 |
| Rebecca Kovaly | Physical Therapy | Jag-one Physical Therapy LLC | 254 Texas Rd, Old Bridge, NJ 08857-4008 |
| Rita Sawaged | Physical Therapy | Jag-one Physical Therapy LLC | 433 Hackensack Ave, Fl 2, Hackensack, NJ 07601-6316 |
| Tessa Gilson | Physical Therapy | Jag-one Physical Therapy LLC | 240 Cedar Knolls Rd, Cedar Knolls, NJ 07927-1621 |
| Riddhi Patel | Physical Therapy | Jag-one Physical Therapy LLC | 10 Woodbridge Ctr Dr, Suite 102, Woodbridge, NJ 07095-1153 |
| David Switay | Physical Therapy | Jag-one Physical Therapy LLC | 461 Main St, Chatham, NJ 07928-2102 |
| Dina Lombardo | Physical Therapy | Jag-one Physical Therapy LLC | 622 Eagle Rock Ave, West Orange, NJ 07052-2994 |
| Lauren M Molinelli | Physical Therapy | Jag-one Physical Therapy LLC | 2107 Route 35, Holmdel, NJ 07733-2795 |
| John Tooher | Physical Therapy | Jag-one Physical Therapy LLC | 9500 K Johnson Blvd, Bldg F, Bordentown, NJ 08505-2264 |
| Street Address |
244 ROUTE 46 E |
| City | FAIRFIELD |
| State | NJ |
| Zip | 07004-2332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua J Kim | Physical Therapy | Jag-one Physical Therapy LLC | 244 Route 46 E, Fairfield, NJ 07004-2332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark J Pesner | Psychologist, Clinical | 271 Us 46, G101, Fairfield, NJ 07004 | |
| Arthur J Torre | Allergy/immunology | 25 Hollywood Ave, Fairfield, NJ 07004-1113 | |
| Paul Rudolph Scollo | Podiatry | 32 Jorgenson Ln, Fairfield, NJ 07004-1216 | |
| Carlo Opont | Physician Assistant | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| James M Maginnis | Physician Assistant | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Niranjan K Penupatruni | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Mary F Welsh | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Harendra Mehta | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Ricki M Henry | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Richard Masterson | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Find all physicians in zip 07004 | |||
| City | FAIRFIELD |
| Zip Code | 07004 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FAIRFIELD + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Casey A Boutillier.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.