Matthew Charles Bouche, PT, CSCS
Matthew Charles Bouche, PT, CSCS is a Physical Therapist in Private Practice in St Paul, Minnesota. Qualified in 2020, 6 years ago. Practices with Tria Orthopaedic Center LLC, a 506-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 6
- Licensed in
- MN
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- PT — Physical Therapist
- A licensed therapist who treats movement, pain and injury.
Practice location Address checks out
2155 Ford PkwySt Paul, MN 55116-1862
Phone: (651) 696-5010
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Physical Therapist (primary) | Taxonomy 2251S0007X · Licence 11806 (MN) |
|---|---|
| Orthopedic Physical Therapist | Taxonomy 2251X0800X · Licence 11806 (MN) |
Record details
| NPI number | 1033785027 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT , CSCS |
| Sole proprietor | No |
| NPI enumerated | June 1, 2021 |
| Last updated in NPPES | June 1, 2021 |
| Certification date | May 27, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Tria Orthopaedic Center Llc — 506 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |