JOHN R BOUCHER P.T.
NPI 1457371718
Physical Therapist in Lebanon, TN

Active since July 20, 2006
1430 W BADDOUR PKWY, SUITE C, LEBANON, TN 37087(615) 453-1422(615) 453-1429 Get Directions Write a Review

NPPES record last updated: October 1, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About John R Boucher P.t. NPPES

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

JOHN R BOUCHER P.T. (NPI 1457371718) is an individual physical therapist in Lebanon, Tennessee, licensed in Tennessee (05269) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1457371718
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJOHN R BOUCHERCredential: P.T.
Location Address1430 W BADDOUR PKWY, SUITE CLebanon, TN 37087-2656
Mailing Address1430 W Baddour Pkwy, Suite CLebanon, TN 37087-2656 · (615) 453-1422 · Fax (615) 453-1429
Fax(615) 453-1429
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateOctober 1, 2013
✔ NPI 1457371718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in TN · 05269
Definition
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, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1430 W BADDOUR PKWY, Lebanon, TN 37087

Other Identifiers 1

Other05269TN · Physical Therapy License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John R Boucher P.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show John Boucher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
1430 W BADDOUR PKWY, SUITE C
Lebanon, TN 37087
  • Reassigned Medicare billing, Tennessee enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1430 W BADDOUR PKWY, SUITE 100
LEBANON, TN 37087
Physical Therapist
1430 W BADDOUR PKWY, SUITE C
LEBANON, TN 37087
Audiologist
1430 W BADDOUR PKWY, SUITE D
LEBANON, TN 37087
Dentist
1430 W BADDOUR PKWY, SUITE B
LEBANON, TN 37087
Nurse Practitioner (Adult Health)
1430 W BADDOUR PKWY, SUITE A
LEBANON, TN 37087
Specialist
1430 W BADDOUR PKWY, SUITE D
LEBANON, TN 37087
Family Medicine
1430 W BADDOUR PKWY, SUITE A
LEBANON, TN 37087
Specialist
1430 W BADDOUR PKWY
LEBANON, TN 37087

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 John Boucher's NPI number?

The NPI number for John Boucher is 1457371718. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is John Boucher located?

John Boucher practices at 1430 W Baddour Pkwy Suite C, Lebanon, TN 37087. The listed phone number is (615) 453-1422.

What is John Boucher's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is John Boucher enrolled in Medicare?

Yes. John Boucher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Boucher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Boucher reassigns Medicare benefits to Impact Physical Therapy, LLC (Lebanon, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Boucher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Boucher accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list John Boucher 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 John Boucher was last updated on October 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.