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

Riley Jay Bouchard

Individual provider Physical Therapist · NPI 1255982922

Riley Jay Bouchard is a Physical Therapist in Private Practice in Anderson, Indiana. Qualified in 2019, 7 years ago. Practices with Advanced Physical Therapy LLC, a 170-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
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Practice location Address checks out

4020 Columbus Ave
Anderson, IN 46013-5010
Phone: (765) 641-7605
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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 05013568A (IN)

Record details

NPI number1255982922
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 24, 2019
Last updated in NPPESSeptember 24, 2019
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Advanced Physical Therapy Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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