Mr Thomas Joseph Boutaugh, MSPT in Stevens, PA - Medicare Physical Therapist Provider

Mr Thomas Joseph Boutaugh, MSPT is a medicare enrolled "Physical Therapist" provider in Stevens, Pennsylvania. His current practice location is 63-65 W Church St., Suite 71, Stevens, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 335-1016.

Mr Thomas Joseph Boutaugh is licensed to practice in Pennsylvania (license number PT022319) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811955115.

Contact Information

	Mr Thomas Joseph Boutaugh, MSPT
	63-65 W Church St., Suite 71, Stevens, PA 17578
	(717) 335-1016
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Thomas Joseph Boutaugh
Gender	Male
Speciality	Physical Therapist
Location	63-65 W Church St., Stevens, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811955115
Provider Enumeration Date: 05/03/2006
Last Update Date: 03/31/2025

Medicare PECOS Information:

PECOS PAC ID: 8921082348
Enrollment ID: I20211004002604

Medical Identifiers

Medical identifiers for Mr Thomas Joseph Boutaugh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811955115	NPI	-	NPPES
248160000	Medicaid	ME
100546	Other	ME	ANTHEM
7538245	Other	ME	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT2423 (Maine)	Secondary
225100000X	Physical Therapist	PT022319 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Thomas Joseph Boutaugh allows following entities to bill medicare on his behalf.

Provider Name	Novacare Outpatient Rehabilitation East, Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1487010583 PECOS PAC ID: 3678480290 Enrollment ID: O20140220000935

Provider Name	Phs Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912300096 PECOS PAC ID: 9234454851 Enrollment ID: O20150202001629

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. Mr Thomas Joseph Boutaugh is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Thomas Joseph Boutaugh, MSPT 121 Norway Dr, Mohnton, PA 19540-8743 Ph: (207) 659-0857	Mr Thomas Joseph Boutaugh, MSPT 63-65 W Church St., Suite 71, Stevens, PA 17578 Ph: (717) 335-1016

Reviews and Comments

Physical Therapist in Stevens, PA

Erin Fisher, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 71 W Church St, Stevens, PA 17578 Phone: 717-335-1016
Jessica Rogers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 63 W Church St Ste 71, Stevens, PA 17578 Phone: 717-335-1016
Meredith Hartz, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 71 W Church St, Stevens, PA 17578 Phone: 717-335-1016
Emily Brewer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 63 W Church St, Stevens, PA 17578 Phone: 717-335-1016
Celeste Pedersen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 71 W Church St, Stevens, PA 17578 Phone: 717-336-5262
Derek James Sauder, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 W Church St Ste 71, Stevens, PA 17578 Phone: 717-333-5101
Mr. Daniel Williams Johnson Iii, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 71 W Church St, Stevens, PA 17578 Phone: 717-336-5262 Fax: 717-336-3133

Mr Thomas Joseph Boutaugh, MSPT - Medicare Physical Therapist in Stevens, PA