Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336594282 Individual Practitioner Male Practitioner

Kyle Boudreau , PT

Physical Therapist • Bourbonnais, IL

Professional Overview & Biography Verified Profile Summary

Kyle Boudreau, PT is a registered healthcare professional specializing in Physical Therapist in Bourbonnais, IL. Practice services are available at 557 MAIN ST NW under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using functional activities, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

557 Main St Nw

Bourbonnais, IL 609142305

Telephone 8158392090
Fax 8152099304
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Bourbonnais, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.9 Yrs
State Avg: 16.6 Yrs
Regional Practice Density
43 Specialists

Practicing in Bourbonnais, IL (12173 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
188 27 $82.23 $32.08
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
182 29 $102.35 $22.24
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
120 28 $101.27 $26.18

Medical Specialties & State Licenses

CMS Verified: 2022-08-04
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License IL 070020042

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Secondary Practice Locations

1397 Main St Ste A

Crete, IL 604172951

Phone: 7083678050

1511 N Convent St

Bourbonnais, IL 60914

Phone: 8154015102

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location August 04, 2022

Registered at 557 MAIN ST NW, BOURBONNAIS, IL 609142305 (Tel: 8158392090)

📍
Updated Business Mailing Address August 04, 2022

Registered at 1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 106055224 (Tel: 9142944050)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2022

Physical Therapist (License #070020042 in IL)

📍
Updated Practice Location June 05, 2019

Registered at 1511 N CONVENT ST, BOURBONNAIS, IL 60914 (Tel: 8154015102)

📍
Updated Business Mailing Address June 05, 2019

Registered at 1511 N CONVENT ST, BOURBONNAIS, IL 609141470 (Tel: 8154015102)

NPI Profile Active April 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 28, 2016

Registered at 1397 MAIN ST STE A, CRETE, IL 604172951 (Tel: 7083678050)

📍
Updated Business Mailing Address April 28, 2016

Registered at 1397 MAIN ST STE A, CRETE, IL 604172951 (Tel: 7083678050)

👤
Provider Name / Credentials Updated April 28, 2016

Recorded as KYLE BOUDREAU, P.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2016

Physical Medicine & Rehabilitation (License #070.020042 in IL)

🟢
Initial NPI Registration & Enumeration April 28, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1336594282
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 28, 2016
Last Update: August 04, 2022
Sole Proprietor: No

Mailing Address

1311 Mamaroneck Ave Ste 140

White Plains, NY 106055224

Phone: 9142944050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.