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

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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