IndividualActive
Cerise Boucher, ATC
NPI 1003942038 · Athletic Trainer · Castleton, VT
Provider details
- NPI number
- 1003942038
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1040000061 (VT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Castleton University
190 University Drive
Castleton, VT 05735-0573
Phone: (802) 468-1435
Fax: (802) 468-2189
Approximate (ZIP-level) locationGet directions
Mailing address
1668 South St
Castleton, VT 05735-9254
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2021-06-16
- Certified
- 2020-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.