Dr Brendan Robert Boucher, DPT, PT, CSCS - Physical Therapist in Brookings, OR

Dr Brendan Robert Boucher, DPT, PT, CSCS is a Physical Therapist based in Brookings, Oregon. Dr Brendan Robert Boucher is licensed to practice in Rhode Island (license number PT02863) and his current practice location is 565 5th St, Brookings, Oregon. He can be reached at his office (for appointments etc.) via phone at (541) 469-1062.

NPI number for Dr Brendan Robert Boucher is 1871936211 and his current mailing address is 1 High St, Wakefield, Rhode Island. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871936211.

Contact Information

Dr Brendan Robert Boucher, DPT, PT, CSCS
565 5th St,
Brookings, OR 97415-9724
(541) 469-1062
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Brendan Robert Boucher
GenderMale
SpecialityPhysical Therapist
Location565 5th St, Brookings, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871936211
  • Provider Enumeration Date: 04/16/2013
  • Last Update Date: 01/06/2016

Medical Identifiers

Medical identifiers for Dr Brendan Robert Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871936211NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT02863 (Rhode Island)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brendan Robert Boucher is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Brendan Robert Boucher, DPT, PT, CSCS
1 High St,
Wakefield, RI 02879-3103

Ph: (401) 783-8077
Dr Brendan Robert Boucher, DPT, PT, CSCS
565 5th St,
Brookings, OR 97415-9724

Ph: (541) 469-1062

Reviews and Comments


Physical Therapist in Brookings, OR

Coastal Physical Therapy Llc
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 580 5th St, Suite 600, Brookings, OR 97415
Phone: 541-469-7314    Fax: 541-469-3669
Mr. Michael Worthey, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 614 Spruce St, Brookings, OR 97415
Phone: 541-469-1062    Fax: 541-469-8477
Bryan Gettys,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Park Ave, Brookings, OR 97415
Phone: 888-366-0209    
Devin Leslie, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 565 5th St, Brookings, OR 97415
Phone: 541-469-1062    Fax: 541-469-8477
Susan Elaine Brickley, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 580 5th St, Suite 600, Brookings, OR 97415
Phone: 541-469-7314    Fax: 541-469-3669
Mrs. Cindy A Zima, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Park Ave, Brookings, OR 97415
Phone: 541-469-3111    
Mrs. Tara Simonson, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 614 Spruce St, Brookings, OR 97415
Phone: 541-469-1062    Fax: 541-469-8477

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.