Connor Boudreau, DPT
NPI 1255192480ActiveIndividual· Physical Therapist· Ellenton, FL
Physical Therapist (DPT) with Proex Physical Therapy LLC and 1 other group, practicing in Ellenton, Florida. Medicare paid $26,490 for services to 47 patients in 2024.
Overview
| NPI | 1255192480 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Jan 16, 2024 |
| Last updated in NPPES | Jun 16, 2026 |
| Certified by provider | Jun 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT43034 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 1,280 across 9 procedure codes |
| Paid by Medicare | $26,490 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Proex Physical Therapy LLCWinchester, MA · 165 clinicians
- Burlington Physical Therapy, PC DBA Orthopaedics PlusBeverly, MA · 18 clinicians
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