Mr Thomas Joseph Boutaugh, MSPT | |
2402 Route 2, Suite 8, Hermon, ME 04401-0665 | |
(207) 659-0857 | |
(207) 404-2562 |
Full Name | Mr Thomas Joseph Boutaugh |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2402 Route 2, Hermon, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811955115 | NPI | - | NPPES |
100546 | Other | ME | ANTHEM |
248160000 | Medicaid | ME | |
7538245 | Other | ME | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT2423 (Maine) | Primary |
Provider Name | Novacare Outpatient Rehabilitation East Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1487010583 PECOS PAC ID: 3678480290 Enrollment ID: O20140220000935 |
Provider Name | Phs Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912300096 PECOS PAC ID: 9234454851 Enrollment ID: O20150202001629 |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas Joseph Boutaugh, MSPT 14 Main Trl, Hampden, ME 04444-1514 Ph: (207) 659-0857 | Mr Thomas Joseph Boutaugh, MSPT 2402 Route 2, Suite 8, Hermon, ME 04401-0665 Ph: (207) 659-0857 |
Emily Welch, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2263 Route 2, Hermon, ME 04401 Phone: 072-848-9009 Fax: 207-404-2562 | |
Elizabeth A Brewer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2263 Route 2, Hermon, ME 04401 Phone: 207-848-9009 Fax: 207-404-2562 | |
Anne Arnold, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2402 Route 2 Ste E, Hermon, ME 04401 Phone: 207-605-9067 | |
Marina Moscone, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2263 Route 2, Hermon, ME 04401 Phone: 207-848-9009 Fax: 207-404-2562 | |
Covey Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 2263 Route 2, Hermon, ME 04401 Phone: 207-848-9009 Fax: 207-404-2562 | |
Jamie Venezia, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2263 Route 2, Hermon, ME 04401 Phone: 207-848-9009 Fax: 207-404-2562 | |
Gabrielle Simoneau, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2263 Route 2, Hermon, ME 04401 Phone: 207-848-9009 Fax: 207-404-2562 |