Carolyn Boucher Physical Therapy, PLLC
NPI 1598443855ActiveOrganization· Physical Therapist· Downers Grove, IL
Physical Therapist in Downers Grove, Illinois, registered in NPPES in July 2023. The authorized official on file is Carolyn Boucher, Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1598443855 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 7, 2023 |
| Last updated in NPPES | Jul 19, 2023 |
| Certified by provider | Jul 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (IL) |
|---|
Other Physical Therapist providers in Downers Grove
- 1417341868
- 1164680492
- 1023340155
- 1316105760
- 1528740214
- 1316818354
- 1063743342
- 1144450743
- 1245739481
- 1699324095
- 1841231651
- 1669878500