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

Mr. Thomas Joseph Boutaugh, MSPT

Individual provider Physical Therapist · NPI 1811955115

Mr. Thomas Joseph Boutaugh, MSPT is a Physical Therapist in Private Practice in Stevens, Pennsylvania. Qualified in 2000, 26 years ago. Practices with Phs Physical Therapy LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Maine and Pennsylvania.

Years since qualifying
26
Licensed in
ME, PA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

63-65 W Church St Ste 71
Stevens, PA 17578
Phone: (717) 335-1016
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT022319 (PA)
Physical Therapist Taxonomy 225100000X · Licence PT2423 (ME)

Record details

NPI number1811955115
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESMarch 31, 2025
Certification dateMarch 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Phs Physical Therapy Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stevens