JANE G BOULO (NPI# 1336189455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336189455 |
| Entity Type | Individual |
| Full Name | JANE G BOULO |
| Credential | P.T. |
| Practice Address |
6144 Airport Blvd Mobile AL 36608-3143 |
| Mailing Address |
Po Box 86144 Mobile AL 36689-6144 |
| Practice Telephone | 2514765050 |
| Practice Fax Number | 2514502770 |
| Mailing Telephone | 2514765050 |
| Mailing Fax Number | 2514502770 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PTH1464 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6144 AIRPORT BLVD |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265410658 | Albert Fox Haas | Orthopaedic Surgery | 6144 Airport Blvd, Mobile, AL 36608 | 2006-01-05 |
| 1205489804 | Jonathon Andrew Gibson | Orthopaedic Surgery | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2019-07-23 |
| 1275197212 | Sarah Scott West | Registered Nurse | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2019-04-25 |
| 1508345968 | Vincent Clay Cochran | Physical Therapist | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2018-08-07 |
| 1346756160 | Nicholas K Bolling | Physician Assistant | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2017-12-15 |
| 1770003436 | Katherine Elizabeth Metzger | Occupational Therapist | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2017-06-23 |
| 1275065062 | Adam Robert Smith | Registered Nurse | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2017-03-30 |
| 1912442401 | Christopher Choquette | Registered Nurse | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2016-12-20 |
| 1811448129 | Joshua Glen Pyeatt | Physician Assistant | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2016-10-21 |
| 1174978464 | Amanda Ladner | Registered Nurse | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2016-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891993564 | Christopher Brian Stewart | Physical Therapist | 8546 Southern Oak Ct, Mobile, AL 36695-7307 | 2007-07-04 |
| 1508345968 | Vincent Clay Cochran | Physical Therapist | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2018-08-07 |
| 1518326834 | Angela Nicole Watson | Physical Therapist | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2016-02-15 |
| 1013225085 | Jeremy Chad Fletcher | Physical Therapist | 5271 Usa Dr N, Hahn 2050, Mobile, AL 36688-2719 | 2010-09-23 |
| 1477872216 | Robert Barry Dale | Physical Therapist | 5721 Usa Dr N, Hahn 1119, Mobile, AL 36688-0002 | 2010-05-19 |
| 1871694497 | Kathy Robinson | Physical Therapist | 5920 Grelot Rd, Building H, Suite B, Mobile, AL 36609-3606 | 2006-09-26 |
| 1124041850 | Cary Scott Helton | Physical Therapist | 1924k Dauphin Island Pkwy, Mobile, AL 36605 | 2006-07-25 |
| 1386675312 | Kristjan Ingi Fridriksson | Physical Therapist | 5920 Grelot Rd, Building H, Suite B, Mobile, AL 36609-3606 | 2006-07-06 |
| 1619916228 | Heather L. Wiggins | Physical Therapist | 1601 Center St, Ste 3n-c, Mobile, AL 36604-1512 | 2006-06-06 |
| 1417996778 | Joan Friedlander | Physical Therapist | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2006-06-05 |
| Find all providers in MOBILE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.