| Jared Boudreau, DPT | |
|
2233 State Route 86, Medical Office Building, Saranac Lake, NY 12983 | |
| (518) 891-4141 | |
| Not Available |
| Full Name | Jared Boudreau |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 2233 State Route 86, Saranac Lake, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033867148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 048553 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain Land Rehabilitation Llc | 9234048745 | 207 |
| Provider Name | Mountain Land Rehabilitation LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1265549372 PECOS PAC ID: 9234048745 Enrollment ID: O20220401002028 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Boudreau, DPT 2233 State Route 86, Medical Office Building, Saranac Lake, NY 12983 Ph: (518) 891-4141 | Jared Boudreau, DPT 2233 State Route 86, Medical Office Building, Saranac Lake, NY 12983 Ph: (518) 891-4141 |
Lauri Chartier, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2233 State Route 86, Saranac Lake, NY 12983 Phone: 518-897-2317 Fax: 518-897-2423 |
Eric Edwin Holmes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2233 State Route 86, Saranac Lake, NY 12983 Phone: 518-897-2317 Fax: 518-897-2423 |
Mrs. Kathleen Dibartolomeo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2233 State Route 86, Saranac Lake, NY 12983 Phone: 518-897-2317 Fax: 518-891-5097 |
Mr. Richard Preston, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2233 State Route 86, Saranac Lake, NY 12983 Phone: 518-897-2317 Fax: 518-897-2423 |
Anthony Samperi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2233 State Route 86, Saranac Lake, NY 12983 Phone: 518-897-2317 Fax: 518-897-2423 |
Mr. Matt Powers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2233 State Route 86, Saranac Lake, NY 12983 Phone: 518-891-4141 Fax: 518-897-2423 |
Ms. Connie Rockefeller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 Church Pond, Saranac Lake, NY 12983 Phone: 518-524-0896 |