Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jared Boudreau, DPT

Individual provider Physical Therapist · NPI 1033867148

Jared Boudreau, DPT is registered under Physical Therapist in Private Practice in Saranac Lake, New York. Qualified in 2021, 5 years ago. Practices with Mountain Land Rehabilitation LLC, a 203-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

2233 State Route 86 Medical Ofc Bldg
Saranac Lake, NY 12983
Phone: (518) 891-4141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 048553 (NY)

Record details

NPI number1033867148
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 17, 2022
Last updated in NPPESSeptember 21, 2026
Certification dateSeptember 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mountain Land Rehabilitation Llc — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Mountain Land Rehabilitation LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 203 clinicians in the practice; 12 are shown here.

Other providers in Saranac Lake