Riley Jay Bouchard, | |
4020 Columbus Ave, Anderson, IN 46013-5010 | |
(765) 641-7605 | |
Not Available |
Full Name | Riley Jay Bouchard |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 4020 Columbus Ave, Anderson, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255982922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05013568A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Physical Therapy Llc | 6002959525 | 150 |
Provider Name | Advanced Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1316940505 PECOS PAC ID: 6002959525 Enrollment ID: O20111006000030 |
Mailing Address | Practice Location Address |
---|---|
Riley Jay Bouchard, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2222 | Riley Jay Bouchard, 4020 Columbus Ave, Anderson, IN 46013-5010 Ph: (765) 641-7605 |
Vengatesh Murugesan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1707 Bethany Rd, Anderson, IN 46012 Phone: 765-622-1211 | |
Jonni Davy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2602 Enterprise Dr, Anderson, IN 46013 Phone: 765-608-3970 | |
Mr. Olugbenga David Akinmosin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2020 Meridian St Ste 170, Anderson, IN 46016 Phone: 765-646-8663 | |
Janell Marie Eisenhut, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4020 Columbus Ave, Anderson, IN 46013 Phone: 765-641-7605 Fax: 765-641-7607 | |
Tina Hedin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Main St Ste 308, Anderson, IN 46016 Phone: 765-644-0500 Fax: 765-644-0510 | |
Chad Corey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2020 Meridian St, Anderson, IN 46016 Phone: 765-646-8663 | |
Request Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4018 Columbus Ave, Anderson, IN 46013 Phone: 765-649-5564 Fax: 765-641-7607 |