Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932617982 Individual Practitioner Female Practitioner

Cathryn J Bouchard

Recreation Therapist • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Cathryn Bouchard is a registered healthcare professional specializing in Recreation Therapist in Spokane, WA. Practice services are available at 3754 W INDIAN TRAIL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3754 W Indian Trail Rd

Spokane, WA 992084736

Telephone 5093287041
Fax 5093287582
Associated Practice Facility / Clinic
🏢 Excelsior Wellness Facility NPI 1326267055

Specialty Benchmarks & Practice Insights

Comparative analytics for Recreation Therapist in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
13 Specialists

Practicing in Spokane, WA (60 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Recreation Therapist Primary Specialty

NUCC Taxonomy Code: 225800000X

State License WA CG60789442

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Washington State Dept Of Health
CG60789442 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Connie O'neel , MA

Counselor - Addiction (Substance Use Disorder)

NPI 1023462835

Master of Arts

Angela Jewell

Nurse's Aide

NPI 1023547049
James Scollard

Peer Specialist

NPI 1083144869
Stephani Norby , CDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1083160154
Nicholas Dillon

Behavior Technician

NPI 1093340812
Jacob Gadbery , MS, LMHC

Counselor - Mental Health

NPI 1104314699

Master of Science, Licensed Mental Health Counselor

Career & Practice History Timeline

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

12 Historical Events
👤
Provider Name / Credentials Updated March 20, 2018

Recorded as CATHRYN BOUCHARD

NPI Profile Active March 01, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2018

Registered at 3754 W INDIAN TRAIL RD, SPOKANE, WA 992084736 (Tel: 5093287041)

📍
Updated Business Mailing Address March 01, 2018

Registered at 3754 W INDIAN TRAIL RD, SPOKANE, WA 992084736 (Tel: 5093287041)

👤
Provider Name / Credentials Updated March 01, 2018

Recorded as CATHRYN BOUCHARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2018

Recreation Therapist (License #CG60789442 in WA)

NPI Profile Active January 11, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2018

Registered at 3754 W INDIAN TRAIL RD, SPOKANE, WA 992084736 (Tel: 5093287041)

📍
Updated Business Mailing Address January 11, 2018

Registered at 3754 W INDIAN TRAIL RD, SPOKANE, WA 992084736 (Tel: 5093287041)

👤
Provider Name / Credentials Updated January 11, 2018

Recorded as CATHERYN BOUCHARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2018

Recreation Therapist (License #CG60789442 in WA)

🟢
Initial NPI Registration & Enumeration January 11, 2018

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: 1932617982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2018
Last Update: March 20, 2018
Sole Proprietor: No

Mailing Address

3754 W Indian Trail Rd

Spokane, WA 992084736

Phone: 5093287041

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.