MR. MANUEL BOUFFARD (OTR CHT) – Occupational Therapist, NPI 1316925282

MR. MANUEL BOUFFARD (OTR CHT) is a healthcare provider. based in Long beach, California. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR CHT. They hold a License No. 00978 (CA). The NPI Number for MR. MANUEL BOUFFARD (OTR CHT) is 1316925282

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
MR. MANUEL BOUFFARD (OTR CHT)
NPI
1316925282
Phone
(562) 428-3556
Address
4010 ORANGE AVE
Enumeration Date
2 January 2006
Last Update Date
16 November 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5624283556
Graduation Year
1993 (33 years ago)
PAC ID
8729078944
Group Practice PAC ID
6204826415
Professional Enrollment ID
I20040521000783
Address ID
CA908073717LO4010XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,224 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for MR. MANUEL BOUFFARD (OTR CHT)

  • Orange Avenue, Long Beach, Los Angeles County, California, 90723, United States

    LONG BEACH, CA 908073717

    Phone: (562) 428-3556

    Fax: (562) 428-3621

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040521000783IOccupational Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes47166$0
97140Therapy procedure using manual technique, each 15 minutes46966$0
97530Therapy procedure using functional activities46765$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes46666$0
97018Application of hot wax bath24736$0
View full utilization report →

Insurance plans in this area (ZIP 90807)

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Provider's Procedures

MR. MANUEL BOUFFARD (OTR CHT) performs procedures in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYCA97535Self-care or home management training, each 15 minutes56668

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204826415View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Does MR. MANUEL BOUFFARD (OTR CHT) have a public NPI I can cite?
Public records show MR. MANUEL BOUFFARD (OTR CHT) under NPI 1316925282.
Should I treat MR. MANUEL BOUFFARD (OTR CHT) as an active provider?
Patients and plans typically see MR. MANUEL BOUFFARD (OTR CHT) as active in the national extract.
Which specialty label fits MR. MANUEL BOUFFARD (OTR CHT)?
NPPES ties MR. MANUEL BOUFFARD (OTR CHT) to Occupational Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. MANUEL BOUFFARD (OTR CHT)?
MR. MANUEL BOUFFARD (OTR CHT) is associated with Long Beach, California in the same public data insurers reference.
Why is information missing for MR. MANUEL BOUFFARD (OTR CHT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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