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

Thad Boucher

Individual provider Physical Therapist · NPI 1861970451

Thad Boucher is a Physical Therapist in McKeesport, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2018.

Licensed in
PA
In the registry since
2018
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Practice location Address checks out

625 Walnut St
McKeesport, PA 15132-2806
Phone: (412) 673-5005
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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 PT026985 (PA)

Record details

NPI number1861970451
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 6, 2018
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020
Mailing address21756 State Road 54, Ste 102, Lutz, FL 33549-2905

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