Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David J Boucher, PT

Individual provider Physical Therapist · NPI 1417901190

David J Boucher, PT is a Physical Therapist in E Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2006.

Licensed in
RI
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1001 Waterman Ave
E Providence, RI 02914-1314
Phone: (401) 434-1773
Fax: (401) 435-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 01754 (RI)

Record details

NPI number1417901190
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESJuly 13, 2026
Mailing address31 Old Route 7, Attn: Credentialing Dept, Brookfield, CT 06804-1714

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