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

Mr. Brian Eric Boutilier

Individual provider Physical Therapist · NPI 1255320230

Mr. Brian Eric Boutilier is a Physical Therapist in Canton, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005

Practice location Address checks out

19 Hodskin St
Canton, NY 13617-1175
Phone: (315) 379-0992
Fax: (315) 370-0993
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 018314-1 (NY)

Record details

NPI number1255320230
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 21, 2005
Last updated in NPPESJuly 7, 2008
Mailing address19 Hodskin St, Canton, NY 13617-1175

Other providers in Canton