1. Home
  2. Directory
  3. Connecticut
  4. Newington
  5. Specialist Technologist
  6. NPI Profile

JACKIE BOUCHARD ST
NPI 1851438485
Specialist/Technologist in Newington, CT

Active since January 31, 2007
181 PATRICIA GENOVA DRIVE, EASTERN REHABILITATION NETWORK (5TH FLOOR), NEWINGTON, CT 06111(860) 664-5480(860) 667-8416 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Bouchard St NPPES

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

JACKIE BOUCHARD ST (NPI 1851438485) is an individual specialist/technologist in Newington, Connecticut, licensed in Connecticut (001413) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1851438485
Entity TypeIndividualFemale
Primary Taxonomy225500000X
Provider Legal NameJACKIE BOUCHARDCredential: ST
Location Address181 PATRICIA GENOVA DRIVE, EASTERN REHABILITATION NETWORK (5TH FLOOR)Newington, CT 06111
Mailing Address181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor)Newington, CT 06111 · (860) 664-5480 · Fax (860) 667-8416
Phone(860) 664-5480
Fax(860) 667-8416
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1851438485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225500000X
License✔ Licensed in CT · 001413
Definition
General classification identifying respiratory, developmental, rehabilitative or restorative services individuals who are trained on a specific piece of equipment or technical procedure.
181 PATRICIA GENOVA DRIVE, Newington, CT 06111
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

NOORAN SCULLY OT
Occupational Therapist
181 PATRICIA GENOVA DRIVE, EASTERN REHABILITATION NETWORK 5TH FLOOR
NEWINGTON, CT 06111
Capitol Planning Region (860) 667-5449
CHRISTINE HUEBNER
Audiologist
181 PATRICIA GENOVA DRIVE, EASTERN REHABILITATION NETWORK (5TH FLOOR)
NEWINGTON, CT 06111
Capitol Planning Region (860) 667-5480
BRIAN PAWLOW PT
Physical Therapist
181 PATRICIA GENOVA DRIVE, EASTERN REHABILITATION NETWORK 5TH FLOOR
NEWINGTON, CT 06111
Capitol Planning Region (860) 667-5449
SEAN GRAY PT
Physical Therapist
181 PATRICIA GENOVA DRIVE, EASTERN REHABILITATION NETWORK 5TH FLOOR
NEWINGTON, CT 06111
Capitol Planning Region (860) 667-5449
KRISTINA LABIENIEC LPN
Home Health Aide
181 PATRICIA GENOVA DRIVE, EASTERN REHABILITATION NETWORK (5TH FLOOR)
NEWINGTON, CT 06111
Capitol Planning Region (860) 667-5480
JANICE FALK ST
Specialist/Technologist
181 PATRICIA GENOVA DRIVE, EASTERN REHABILITATION NETWORK 5TH FLOOR
NEWINGTON, CT 06111
Capitol Planning Region (860) 667-5449
MARCI ZANNOTTI PT
Physical Therapist
181 PATRICIA GENOVA DRIVE, EASTERN REHABILITATION NETWORK 5TH FLOOR
NEWINGTON, CT 06111
Capitol Planning Region (860) 667-5449
DANA EDWARDS PT
Physical Therapist
181 PATRICIA GENOVA DRIVE, EASTERN REHABILITATION NETWORK 5TH FLOOR
NEWINGTON, CT 06111
Capitol Planning Region (860) 667-5449

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 Jackie Bouchard's NPI number?

The NPI number for Jackie Bouchard is 1851438485. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Jackie Bouchard located?

Jackie Bouchard practices at 181 Patricia Genova Drive Eastern Rehabilitation Network (5th Floor), Newington, CT 06111. The listed phone number is (860) 664-5480.

What is Jackie Bouchard's specialty?

The primary specialty registered for this NPI is Specialist/Technologist with taxonomy code 225500000X.

When was this NPI record last updated?

The NPPES record for Jackie Bouchard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.