MARK DAVID BOUTROS (NPI# 1508226416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508226416 |
| Entity Type | Individual |
| Full Name | MARK DAVID BOUTROS |
| Credential | PT, DPT |
| Practice Address |
3270 Liberty Rd S Salem OR 97302 |
| Practice Telephone | 5033710779 |
| Practice Fax Number | 5033710886 |
| Mailing Telephone | 5033710779 |
| Mailing Fax Number | 5033710886 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 64192 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184936817 | Mark Boutros | Family Medicine | 22250 Providence Dr, Suite 500, Southfield, MI 48075-4825 | 2010-07-10 |
| 1700992674 | Mark Samir Boutros | Internal Medicine | 4200 S East St, Indianapolis, IN 46227 | 2006-08-22 |
| Street Address |
3270 LIBERTY RD S |
| City | SALEM |
| State | OR |
| Zip Code | 97302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811971815 | Michael T Studer | Physical Therapist | 3270 Liberty Rd S, Salem, OR 97302 | 2005-12-02 |
| 1578115416 | David Joseph Seck | Physical Therapist | 3270 Liberty Rd S, Salem, OR 97302-4560 | 2019-07-11 |
| 1811470743 | Amanda Bietz | Physical Medicine & Rehabilitation | 3270 Liberty Rd S, Salem, OR 97302-4560 | 2018-09-06 |
| 1932692225 | Molly Nienhuis | Physical Therapist | 3270 Liberty Rd S, Salem, OR 97302 | 2018-06-11 |
| 1427541713 | Christopher Aguirre | Physical Therapist | 3270 Liberty Rd S, Salem, OR 97302-4560 | 2018-06-11 |
| 1659863892 | Shannon Compton | Physical Therapist | 3270 Liberty Rd S, Salem, OR 97302 | 2018-06-04 |
| 1699282483 | Hans L Severson | Occupational Therapist | 3270 Liberty Rd S, Salem, OR 97302 | 2018-01-03 |
| 1811409584 | Hannah Murie Fugle | Physical Therapist | 3270 Liberty Rd S, Salem, OR 97302 | 2017-11-02 |
| 1609305176 | Zane Wise | Physical Therapist | 3270 Liberty Rd S, Salem, OR 97302 | 2017-06-08 |
| 1851841993 | Whitney Ann Gray | Physical Therapist | 3270 Liberty Rd S, Salem, OR 97302-4560 | 2016-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953913 | Brittany Smart | Physical Therapist | 7137 236th Ave Ste 101, Salem, WI 53168-8975 | 2020-08-17 |
| 1710509229 | Joseph Peter Pepe | Physical Therapist | 35 Congress St Ste 211, Salem, MA 01970-5529 | 2020-05-07 |
| 1235796293 | Elise Miranda Princehouse | Physical Therapist | 4049 Market St Ne, Salem, OR 97301-1902 | 2019-05-24 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1386148336 | Kimberly Hunley | Physical Therapist | 4 Dunbar Ter, Salem, NH 03079-3123 | 2018-03-22 |
| 1255846309 | Chester Delfin | Physical Therapist | 515 Taggart Dr Nw Ste 150, Salem, OR 97304-4149 | 2017-12-12 |
| 1972021020 | India Shae Davidson | Physical Therapist | 1441 W Main St, Salem, VA 24153-3120 | 2017-09-08 |
| 1184141913 | Kyle Macri | Physical Therapist | 84 Highland Ave Ste 201, Salem, MA 01970-2736 | 2017-08-23 |
| 1902356892 | Heather Popp | Physical Therapist | 4 Ames St, Salem, MA 01970-2610 | 2016-10-04 |
| Find all providers in SALEM | ||||
Please comment or provide details below to improve the information on MARK DAVID BOUTROS.
| 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.