Jacob Boucher
Orthopedic Physical Therapist · Grafton, WI
Jacob 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 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
- Entity
- Type 1 · individual
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 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
One hospital or facility affiliation
- Freedom Physical Therapy Services SCFox Point, WI
Source: CMS Doctors and Clinicians affiliations; Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Orthopedic Physical Therapist providers in Wisconsin
There are 193 orthopedic physical therapist records in Wisconsin.
Other orthopedic physical therapist records in Wisconsin
- Austin Adamson, DPTBrookfield, WI1134704653
- Erin Alft, MPTMadison, WI1629146717
- Teresa AmonettMadison, WI1912065707
- Kelsey Andersen, DPTMadison, WI1275016826
- Alexis Anderson, P.T., D.P.T.New Richmond, WI1548668064
- Alicia Anderson, DPTOconomowoc, WI1609706241
- Tavia Anderson, DPTSt Francis, WI1730926205
- Renato Anonuevo, PTWauwatosa, WI1407013204
- Lindsay Antczak, PTAJanesville, WI1427126598
- Diana Aranda, PTMilwaukee, WI1760649909
Common questions
What is Jacob Boucher's NPI number?
Jacob 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 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 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), loaded Aug 27, 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.