JOHN R BOUCHER P.T.
NPI 1457371718
Physical Therapist in Lebanon, TN
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
Specialties & Licenses
- 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.
Other Identifiers 1
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.
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.
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.