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Active NPI 1811955115 Individual Practitioner Male Practitioner

Thomas Joseph Boutaugh , MSPT

Physical Therapist • Stevens, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Thomas Boutaugh, MSPT is a certified Physical Therapist practicing in Stevens, PA. With approximately 26 years of clinical experience since completing medical education in 2000, Thomas Boutaugh delivers high-quality medical care to the local community at 63-65 W CHURCH ST..

Thomas Boutaugh is affiliated with Phs Physical Therapy Llc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

63-65 W Church St.
Suite 71

Stevens, PA 17578

Telephone 7173351016

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Stevens, PA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +12.7 yrs vs City Avg
City Avg: 13.3 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Stevens, PA (12918 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boutaugh (26 Years) 26 Yrs
Stevens Specialty Average (13.3 Years) 13.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
22 13 $50.00 $22.26
97530 Therapy procedure using functional activities
18 12 $68.00 $31.66

Medical Specialties & State Licenses

CMS Verified: 2025-03-27
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License PA PT022319

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.

Physical Therapist

NUCC Taxonomy Code: 225100000X

State License ME PT2423

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
248160000 (ME)
Commercial Insurance / Payer ID Anthem
100546 (ME)
Commercial Insurance / Payer ID Aetna
7538245 (ME)

Hospital & Practice Group Affiliations

Phs Physical Therapy Llc

1160 Manheim Pike, Lancaster, PA 176013127

Phone: 7173977505

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1205632411

Physical Therapist, Doctor of Physical Therapy

NPI 1275287518

Physical Therapist, Doctor of Physical Therapy

Joel Gonzalez , PTA

Physical Therapy Assistant

NPI 1548939978

Physical Therapist Assistant

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 31, 2025

Registered at 63-65 W CHURCH ST., SUITE 71, STEVENS, PA 17578 (Tel: 7173351016)

📍
Updated Business Mailing Address March 31, 2025

Registered at 121 NORWAY DR, MOHNTON, PA 195408743 (Tel: 2076590857)

NPI Profile Active February 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2012

Registered at 2402 ROUTE 2, SUITE 8, HERMON, ME 044010665 (Tel: 2076590857)

📍
Updated Business Mailing Address February 13, 2012

Registered at 14 MAIN TRL, HAMPDEN, ME 044441514 (Tel: 2076590857)

👤
Provider Name / Credentials Updated February 13, 2012

Recorded as THOMAS BOUTAUGH, MSPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2012

Physical Therapist (License #PT2423 in ME)

🟢
Initial NPI Registration & Enumeration May 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811955115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2006
Last Update: March 31, 2025
Sole Proprietor: No

Mailing Address

121 Norway Dr

Mohnton, PA 195408743

Phone: 2076590857

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.