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

Mr. Reid Elliot Bouchard, DPT

Individual provider Physical Therapist · NPI 1104253855

Mr. Reid Elliot Bouchard, DPT is a Physical Therapist in Private Practice in Vista, California. Graduated from Creighton University School of Medicine in 2013, 13 years ago. Practices with Tri-City Orthopaedic Surgery Medical Group Inc, a 24-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
Creighton University School of Medicine
Licensed in
CA
In the registry since
2013
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1958 Via Ctr
Vista, CA 92081-6056
Phone: (760) 724-9000
Fax: (760) 724-3686
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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 PT40403 (CA)

Record details

NPI number1104253855
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 26, 2013
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Tri-City Orthopaedic Surgery Medical Group Inc. — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vista