Jennifer M Boudreau (NPI# 1891818936, PAC ID# 4385721604) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1891818936 |
| PAC ID by PECOS | 4385721604 |
| Professional Enrollment ID | I20080410000154 |
| Full Name | Jennifer M Boudreau |
| Organization Legal Name | PROACTIVE SPORTS CARE AND REHABILITATION, PC |
| Address |
160 White Rd Suite 104 Little Silver NJ 07739-1167 |
| Phone Number | 7329333570 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2466467105 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 160 White Rd, Suite 104, Little Silver, NJ 07739-1167 | 7329333570 | PROACTIVE SPORTS CARE AND REHABILITATION, PC |
| Organization Legal Name | PROACTIVE SPORTS CARE AND REHABILITATION, PC |
| Physicians | 1 |
| Street Address |
160 WHITE RD SUITE 104 |
| City | LITTLE SILVER |
| State | NJ |
| Zip | 07739-1167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathon M Corbacio | Physical Therapy | 160 White Rd, Suite 104, Little Silver, NJ 07739-1167 | |
| Tatyana Ponti | Internal Medicine | 160 White Rd, Suite 102, Little Silver, NJ 07739-1167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kostantinos Linardakis | Chiropractic | 220 Branch Ave, Little Silver, NJ 07739-1005 | |
| Joseph Gilson | Chiropractic | 3 Megan Dr, Little Silver, NJ 07739-1157 | |
| Frederick J Zito | Diagnostic Radiology | Red Bank Radiologists,pa | 200 White Rd, Suite 115, Little Silver, NJ 07739-1160 |
| Raven W Devincenzo | Diagnostic Radiology | Red Bank Radiologists,pa | 200 White Rd, Suite 115, Little Silver, NJ 07739-1160 |
| Deborah C Rose | Chiropractic | 200 White Rd, Suite 110, Little Silver, NJ 07739-1160 | |
| Robert E Wold | Diagnostic Radiology | Red Bank Radiologists,pa | 200 White Rd, Suite 115, Little Silver, NJ 07739-1160 |
| David Lopez | Orthopedic Surgery | 200 White Rd, Suite 101, Little Silver, NJ 07739-1160 | |
| Shaquib A Zaidi | Diagnostic Radiology | Red Bank Radiologists,pa | 200 White Rd, Suite 115, Little Silver, NJ 07739-1160 |
| Guangzu Gao | Diagnostic Radiology | Red Bank Radiologists,pa | 200 White Rd, Suite 115, Little Silver, NJ 07739-1160 |
| Dennis Hupka | Chiropractic | 200 White Rd, Suite 111, Little Silver, NJ 07739-1160 | |
| Find all physicians in zip 07739 | |||
| City | LITTLE SILVER |
| Zip Code | 07739 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | LITTLE SILVER + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jennifer M Boudreau.
| 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.