Brian Eric Boutilier (NPI# 1255320230, PAC ID# 6103999461) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1255320230 |
| PAC ID by PECOS | 6103999461 |
| Professional Enrollment ID | I20080718000580 |
| Full Name | Brian Eric Boutilier |
| Organization Legal Name | ADIRONDACK PHYSICAL AND OCCUPATIONAL THERAPY LLC |
| Address |
127 E 1st St Oswego NY 13126-2104 |
| Phone Number | 3152072222 |
| Gender | M |
| Graduation Year | 1993 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9234129099 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 127 E 1st St, Oswego, NY 13126-2104 | 3152072222 | ADIRONDACK PHYSICAL AND OCCUPATIONAL THERAPY LLC |
| 18564 Us Route 11, Watertown, NY 13601-5900 | 3153790992 | ADIRONDACK PHYSICAL AND OCCUPATIONAL THERAPY LLC |
| Organization Legal Name | ADIRONDACK PHYSICAL AND OCCUPATIONAL THERAPY LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason A Myers | Physical Therapy | Adirondack Physical and Occupational Therapy LLC | 127 E 1st St, Oswego, NY 13126-2104 |
| William T Delfing | Physical Therapy | Adirondack Physical and Occupational Therapy LLC | 127 E 1st St, Oswego, NY 13126-2104 |
| Shellie Taylor | Occupational Therapy | Adirondack Physical and Occupational Therapy LLC | 127 E 1st St, Oswego, NY 13126-2104 |
| Clark Alexander Wolf | Occupational Therapy | Adirondack Physical and Occupational Therapy LLC | 127 E 1st St, Oswego, NY 13126-2104 |
| Michele R King | Occupational Therapy | Adirondack Physical and Occupational Therapy LLC | 127 E 1st St, Oswego, NY 13126-2104 |
| William Pena | Physical Therapy | Adirondack Physical and Occupational Therapy LLC | 127 E 1st St, Oswego, NY 13126-2104 |
| Street Address |
127 E 1ST ST |
| City | OSWEGO |
| State | NY |
| Zip | 13126-2104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason A Myers | Physical Therapy | Adirondack Physical and Occupational Therapy LLC | 127 E 1st St, Oswego, NY 13126-2104 |
| William T Delfing | Physical Therapy | Adirondack Physical and Occupational Therapy LLC | 127 E 1st St, Oswego, NY 13126-2104 |
| Shellie Taylor | Occupational Therapy | Adirondack Physical and Occupational Therapy LLC | 127 E 1st St, Oswego, NY 13126-2104 |
| Clark Alexander Wolf | Occupational Therapy | Adirondack Physical and Occupational Therapy LLC | 127 E 1st St, Oswego, NY 13126-2104 |
| Michele R King | Occupational Therapy | Adirondack Physical and Occupational Therapy LLC | 127 E 1st St, Oswego, NY 13126-2104 |
| William Pena | Physical Therapy | Adirondack Physical and Occupational Therapy LLC | 127 E 1st St, Oswego, NY 13126-2104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ivan G Proano | Ophthalmology | Ivan G Proano Md Pllc | 15 Bronson St, Oswego, NY 13126-1004 |
| Matthew J Liepke | Internal Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Corliss A Varnum | Family Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Joan Newell | Internal Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Christina M Liepke | Family Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Theresa Check | Certified Nurse Midwife (cnm) | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Raj K Mahajan | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Megan Rae Irland | Physician Assistant | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Daniel G Coty | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Ayesha Lauren Turner | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Find all physicians in zip 13126 | |||
| City | OSWEGO |
| Zip Code | 13126 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | OSWEGO + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Brian Eric Boutilier.
| 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.