Jacob Paul Boucher
Orthopedic Physical Therapist · Grafton, WI
Jacob Paul Boucher is an orthopedic physical therapist with a practice address in Grafton, Wisconsin, and NPI 1619501442, issued on Mar 2, 2020. Check the license (Wisconsin 17078-24, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacob Paul Boucher
- Primary taxonomy
- Orthopedic Physical Therapist 2251X0800X
- License number
- 17078-24 WI
Self-reported in NPPES; status is on the state search - Practice location
- 1235 Dakota Dr Ste L, Grafton, WI 53024
- Phone
- (262) 376-2085
- Enumerated
- Mar 2, 2020
- Record last updated
- Mar 27, 2025
- Medicare enrollment
- Enrolled (PECOS I20250505001623); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest orthopedic physical therapist records → All 161 in Wisconsin → Look up another NPI →
Also registered at 1235 Dakota Dr Ste L
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kaela Beugnet, DPTPhysical Therapist1194456293
- Rachel Schraufnagel, DPTPhysical Therapist1184140931
Verify Jacob Paul Boucher in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 17078-24Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Freedom Physical Therapy Services SCFox Point, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacob Paul Boucher among 161 orthopedic physical therapist records in Wisconsin
Jacob Paul Boucher is one of 161 orthopedic physical therapist records with a practice address in Wisconsin. 28% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 73% of them.
- NPI issued2020 · 73% of these records are older, 24% newer
- In a Medicare fileYes · 28% of these records are
- In the CMS Doctors and Clinicians fileYes · 28% of these records are
- Graduated2024 · median 2015 among the 45 with a school on file
- Record last updated2025 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2251X0800X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthopedic Physical Therapist providers in Wisconsin
There are 161 orthopedic physical therapist records in Wisconsin.
All 161 in Wisconsin → Every provider in Grafton → Orthopedic Physical Therapist nationwide →
The 8 orthopedic physical therapist records with the nearest ZIP codes
- Sheri Haberkorn, MASTERSGrafton, WI 530241427185339
- Neal Scibelli, DPTGrafton, WI 530241679918171
- Deborah Loftus, PT, OCSGermantown, WI 530221902863988
- William Oconnell, PTGermantown, WI 530221528218153
- Michael SchraufnagelHartford, WI 530271932620689
- Angela Jiracek, PTACedarburg, WI 530121124687017
- Julia Badding, DPTBrookfield, WI 530051730565037
- Penny Beams, PTBrookfield, WI 530051134366297
Common questions
What is Jacob Paul Boucher's NPI number?
Jacob Paul Boucher's National Provider Identifier (NPI) is 1619501442, issued on Mar 2, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Jacob Paul Boucher located?
The NPPES record lists a practice address at 1235 Dakota Dr Ste L, Grafton, WI, 53024. Phone: (262) 376-2085. Providers update this record themselves, so call before visiting.
How can I verify Jacob Paul Boucher's license?
NPPES lists Wisconsin license number 17078-24, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.