DR. BRENDAN ROBERT BOUCHER (NPI# 1871936211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871936211 |
| Entity Type | Individual |
| Full Name | DR. BRENDAN ROBERT BOUCHER |
| Credential | DPT, PT, CSCS |
| Practice Address |
565 5th St Brookings OR 97415-9724 |
| Mailing Address |
1 High St Wakefield RI 02879-3103 |
| Practice Telephone | 5414691062 |
| Mailing Telephone | 4017838077 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2016-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT02863 | RI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
565 5TH ST |
| City | BROOKINGS |
| State | OR |
| Zip Code | 97415-9724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801906615 | Dane E Smith | Dentist | 565 5th St, Brookings, OR 97415-9702 | 2006-08-30 |
| 1457884934 | Brookings Dental Group, LLC | Dentist | 565 5th St, 2, Brookings, OR 97415-9724 | 2017-04-11 |
| 1316360795 | Devin Leslie | Physical Therapist | 565 5th St, Brookings, OR 97415-9724 | 2014-01-21 |
| 1679817845 | Shirley Garmin Cheung | Dentist | 565 5th St, Brookings, OR 97415-9724 | 2012-11-12 |
| 1811144215 | Barbara Lynn Woodcock | Physical Therapy Assistant | 565 5th St, Brookings, OR 97415-9724 | 2008-08-27 |
| 1114063518 | William D Morrell | Dentist | 565 5th St, Brookings, OR 97415-9702 | 2007-01-30 |
| 1649352113 | Marlin M Montgomery | Dentist | 565 5th St, Brookings, OR 97415-9702 | 2006-10-20 |
| 1861591679 | Dane E. Smith Dds PC | Dentist | 565 5th St, Brookings, OR 97415-9702 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1912564329 | Lori A Burkart | Speech-Language Pathologist | Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 | 2019-05-21 |
| 1881144178 | Costa Clinical Psychology, LLC | Social Worker | 625 Spruce St., # 7666, Brookings, OR 97415 | 2016-10-11 |
| 1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
| 1336595784 | Monica Shaw | Case Manager/Care Coordinator | 412 Alder, Brookings, OR 97415 | 2016-05-04 |
| 1639531437 | Ian Leonard | Behavioral Analyst | 450 Sb Chetco River Road, Brookings, OR 97415 | 2016-03-22 |
| 1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
| 1699033365 | Sunlight Family Center, LLC | Clinic/Center | 604 Spruce Street, Brookings, OR 97415 | 2012-05-01 |
| 1649544784 | Oregon Coast Wellness Inc. | Clinic/Center | 648 Chetco Ave., Brookings, OR 97415 | 2012-03-07 |
| 1790072544 | Elizabeth A. Nation | Registered Nurse | 96343 Alder Ridge Road, Brookings, OR 97415 | 2011-06-30 |
| Find all providers in zip 97415 | ||||
| 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 |
|---|---|---|---|---|
| 1154770410 | Megan Mccormick | Physical Therapist | 932 Onaka Trl Apt 4, Brookings, SD 57006-2948 | 2016-06-08 |
| 1598014896 | Dustin Wade Little | Physical Therapist | 2409 10th St Apt 116, Brookings, SD 57006-5528 | 2012-08-31 |
| 1871720490 | Katharine K Higgins | Physical Therapist | 876 Jodee Ln, Brookings, OR 97415-9064 | 2009-06-22 |
| 1013169374 | Andrea Lynn Schulz | Physical Therapist | 1312 Pheasant Run Rd, Brookings, SD 57006-4917 | 2008-10-17 |
| 1730331455 | Keri Leigh Bachar | Physical Therapist | 46864 Northshore Dr, Brookings, SD 57006-7002 | 2008-10-13 |
| 1215045398 | Michael Worthey | Physical Therapist | 614 Spruce St, Brookings, OR 97415 | 2006-08-28 |
| 1932212669 | Patrick W Dodgen | Physical Therapist | 616 Hemlock Street, A, Brookings, OR 97415 | 2006-08-16 |
| 1407811557 | Timothy Scherschligt | Physical Therapist | 116 22nd Ave S, Brookings, SD 57006 | 2006-04-20 |
| 1689657645 | Paul Rosenthal | Physical Therapist | 580 5th St, Suite 600, Brookings, OR 97415-9702 | 2005-11-23 |
| 1194325712 | Travis Bolstad | Physical Therapist | 400 22nd Ave, Brookings, SD 57006-2450 | 2020-11-01 |
| Find all providers in BROOKINGS | ||||
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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.