MATTHEW CHARLES BOUCHE PT, CSCS
NPI 1033785027
Physical Therapist - Sports in St. Paul, MN

Q: What is Matthew Bouche's NPI number?

The NPI number for Matthew Bouche is 1033785027. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Q: What is Matthew Bouche's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Bouche was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 01, 2021Accepts Medicare Assignment

81.72/100

CMS Quality Rating

2155 FORD PARKWAY, ST. PAUL, MN 55116(651) 696-5010 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Matthew Charles Bouche Pt, Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW CHARLES BOUCHE PT, CSCS (NPI 1033785027) is an individual sports provider in St. Paul, Minnesota, licensed in Minnesota (11806) and active in the NPI registry since June 2021. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1033785027

Entity TypeIndividualMale

Primary Taxonomy2251S0007X

Provider Legal NameMATTHEW CHARLES BOUCHECredential: PT, CSCS

Location Address2155 FORD PARKWAYSt. Paul, MN 55116-1862

Mailing Address3519 Sawgrass Trl EEagan, MN 55123-1367 · (920) 621-7074

Phone(651) 696-5010

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 1, 2021

NPPES CertifiedMay 27, 2021

✔ NPI 1033785027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251S0007X

License✔ Licensed in MN · 11806

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 11806 (MN)

2155 FORD PARKWAY, St. Paul, MN 55116

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Charles Bouche Pt, Cscs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214337476

PECOS Enrollment IDI20210610001063

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

57 services13 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.72/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.86

Promoting Interoperability

100

Improvement Activities

Cost

59.73

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Bouche's NPI number?

The NPI number for Matthew Bouche is 1033785027. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Where is Matthew Bouche located?

Matthew Bouche practices at 2155 Ford Parkway, St. Paul, MN 55116. The listed phone number is (651) 696-5010.

What is Matthew Bouche's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Is Matthew Bouche enrolled in Medicare?

Yes. Matthew Bouche is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matthew Bouche accept?

Health plans from Medica list Matthew Bouche as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Bouche was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.