Individual provider · Type 1 NPI

David J. Boucher, PT

Physical Therapist · East Providence, RI

NPI number 1417901190 Active

Practice location

1001 Waterman Ave
East Providence, RI 02914-1314

Fax (401) 435-0500

Mailing address

31 Old Route 7, Attn: Credentialing Dept
Brookfield, CT 06804-1714

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X01754 (RI)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1417901190

David J. Boucher, PT's National Provider Identifier is 1417901190, issued on May 19, 2006. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in East Providence, RI. The record was last updated on Jul 13, 2026.