Brad Boulanger (NPI# 1609102714, PAC ID# 2769521475) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1609102714 |
| PAC ID by PECOS | 2769521475 |
| Professional Enrollment ID | I20091209000089 |
| Full Name | Brad Boulanger |
| Organization Legal Name | BAY STATE PHYSICAL THERAPY OF RANDOLPH INC |
| Address |
1290 Tremont St Fl 5 Boston MA 02120-3432 |
| Phone Number | 6179893100 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6305744251 |
| Number of Group Practice Members | 198 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1290 Tremont St, Fl 5, Boston, MA 02120-3432 | 6179893100 | BAY STATE PHYSICAL THERAPY OF RANDOLPH INC |
| 111 Willard St, Suite 2a, Quincy, MA 02169-1274 | 6174714491 | BAY STATE PHYSICAL THERAPY OF RANDOLPH INC |
| Organization Legal Name | BAY STATE PHYSICAL THERAPY OF RANDOLPH INC |
| Physicians | 192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryant Lee | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 220 Ctr St, Unit 16, Pembroke, MA 02359-2656 |
| Meghan Mcphee | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 316 Huntington Ave, Boston, MA 02115-5019 |
| Tenzin Choephel | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Steven Regan | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 67 Mechanic St, Foxboro, MA 02035-2012 |
| Peter Michael Mykut | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 445 Central St, Stoughton, MA 02072-1900 |
| Alexandra Gustafson | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 1830 Main St, Apt 1, Tewksbury, MA 01876-4712 |
| Keri Donovan | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 133 Highland Ave, Salem, MA 01970-2774 |
| Jared Patrick Winston | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 7 Herring Pond Rd, Plymouth, MA 02360-6903 |
| Meghan Eckel | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 160 N Main St, Carver, MA 02330-1027 |
| Joseph Hoffman | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 1095 Washington St, Attleboro, MA 02703-7944 |
| Street Address |
1290 TREMONT ST FL 5 |
| City | BOSTON |
| State | MA |
| Zip | 02120-3432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Donovan | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 1290 Tremont St, Fl 5, Boston, MA 02120-3432 |
| Jaime Ellen Goss | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 1290 Tremont St, Fl 5, Boston, MA 02120-3432 |
| Sarah Goldstein | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 1290 Tremont St, Fl 5, Boston, MA 02120-3432 |
| Daniel Carey | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 1290 Tremont St, Fl 5, Boston, MA 02120-3432 |
| Marissa Gill | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 1290 Tremont St, Fl 5, Boston, MA 02120-3432 |
| Alicia J Burillo | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 1290 Tremont St, Fl 5, Boston, MA 02120-3432 |
| Lauren C Blair | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 1290 Tremont St, Fl 5, Boston, MA 02120-3432 |
| Kenneth Nwosu | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 1290 Tremont St, Fl 5, Boston, MA 02120-3432 |
| Katherine Magoni | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 1290 Tremont St, Fl 5, Boston, MA 02120-3432 |
| Adrian B Blindt | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 1290 Tremont St, Fl 5, Boston, MA 02120-3432 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth A Larsen | Psychologist, Clinical | New England Baptist Hospital, 125 Parker Hill Ave, Boston, MA 02120 | |
| Allyson Foss | Physician Assistant | New England Baptist Medical Associates, Inc. | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| David A Mattingly | Orthopedic Surgery | Longwood Orthopedic Associates, Inc. | 125 Parker Hill Ave Bingham, Boston, MA 02120-2847 |
| Patricia A Petrous | Certified Registered Nurse Anesthetist | Anaesthesia Associates of Massachusetts, PC | 125 Paker Hill Ave, Boston, MA 02120-2847 |
| Richard R Guillaume | Certified Registered Nurse Anesthetist (crna) | Anaesthesia Associates of Massachusetts, PC | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Charles J Dow | Cardiovascular Disease (cardiology) | 125 Parker Hill Ave, Boston, MA 02120-2847 | |
| Codey D Gillum | Physician Assistant | Eric J Woodard Md PC | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Jessica L Heath | Anesthesiology | Associated Physicians of Harvard Medical Faculty Physicians At Beth Is | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Sharon Bassi | Pain Management | New England Baptist Medical Associates, Inc. | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Pablo Josue Diaz-collado | Orthopedic Surgery | New England Baptist Medical Associates, Inc. | 125 Parker Hill Ave, Boston, MA 02120-2847 |
| Find all physicians in zip 02120 | |||
| City | BOSTON |
| Zip Code | 02120 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BOSTON + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.