Jacob Paul Boucher
Jacob Paul Boucher is a Physical Therapist in Private Practice in Grafton, Wisconsin. Qualified in 2024, 2 years ago. Practices with Freedom Physical Therapy Services SC, a 29-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 2
- Licensed in
- WI
- In the registry since
- 2020
Practice location Address checks out
1235 Dakota Dr Ste LGrafton, WI 53024-9477
Phone: (262) 376-2085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopedic Physical Therapist (primary) | Taxonomy 2251X0800X · Licence 17078-24 (WI) |
|---|
Record details
| NPI number | 1619501442 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 2, 2020 |
| Last updated in NPPES | March 27, 2025 |
| Certification date | March 27, 2025 |
| Mailing address | 2001 Alford Park Dr, Kenosha, WI 53140-1927 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Freedom Physical Therapy Services Sc — 29 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Grafton
-
Mrs. Sheri Lynn Haberkorn, MASTERS
975 Port Washington Rd, Grafton, WI 53024-9201 · (262) 329-2700
-
Brook Holmes, PT, DPT, OCS
975 Port Washington Rd Ste 210, Grafton, WI 53024-9201 · (262) 329-2700
-
Mr. Neal Philip Scibelli, DPT
975 Port Washington Rd, Grafton, WI 53024-9201 · (262) 329-2743