| Jonathan Boutni, PT | |
|
10293 Dixie Highway, Suite 0, Holly, MI 48442 | |
| (810) 771-7686 | |
| (810) 771-7685 |
| Full Name | Jonathan Boutni |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 15 Years |
| Location | 10293 Dixie Highway, Holly, Michigan |
| 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 |
|---|---|---|---|
| 1558645572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501015725 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| First Rehab And Sport | 7214171925 | 7 |
| Provider Name | First Rehab & Sport |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861830705 PECOS PAC ID: 7214171925 Enrollment ID: O20130919000477 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Boutni, PT P O Box 32008, Flint, MI 48507 Ph: (810) 230-0338 | Jonathan Boutni, PT 10293 Dixie Highway, Suite 0, Holly, MI 48442 Ph: (810) 771-7686 |
Abigail Anne Hereau, PT, DPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-498-2301 | |
Anna Marie Bradley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-771-7686 | |
Taylor Schultz, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1016 N Saginaw St, Holly, MI 48442 Phone: 248-634-4424 Fax: 248-634-5995 | |
Heather Hepper, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-771-7686 Fax: 810-771-7685 | |
Erin Uehara, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-771-7686 | |
Daniel Pillivant, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-771-7686 | |
Kelsey Paul, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-771-7686 |