Active NPIIndividual providerSole proprietor

Bruce Bourbeau, PTA

Physical Therapy Assistant in Manchester, New Hampshire

NPI Number1013149418
Practice location
235 Myrtle St, Manchester, NH 03104-4314
Fax
—
Last updated
August 18, 2009

Bruce Bourbeau is a Physical Therapy Assistant based in Manchester, NH. Bruce Bourbeau practices in Manchester, NH and has the professional credentials of PTA. The NPI Number for Bruce Bourbeau is 1013149418 and holds a License No. 910 (NH). The current practice location address for Bruce Bourbeau is 235 Myrtle St, Manchester, NH 03104-4314 and can be reached out via phone at 603-627-3811.

Provider Profile Details

NPI Number
1013149418
Provider Name
Bruce Bourbeau
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
235 Myrtle St, Manchester, NH 03104-4314
Phone Number
603-627-3811
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
August 18, 2009
Last Update Date
August 18, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
235 Myrtle St
Manchester, NH 03104-4314
Zip
03104-4314
Phone Number
603-627-3811
Manchester, NH 03104Get directions →

Provider Business Mailing Address Details

Address
271 Wellington Hill RD
Manchester, NH 03104-6463
City
Manchester
State
NH
Zip
03104-6463

License Information

License Number
910
License State
NH
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bruce Bourbeau, PTA?

The NPI number of Bruce Bourbeau, PTA is 1013149418. It was assigned on August 18, 2009 and is currently active in the NPPES registry.

What is the specialty of Bruce Bourbeau, PTA?

Bruce Bourbeau, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NH under license number 910.

Where does Bruce Bourbeau, PTA practice?

The practice location is 235 Myrtle St, Manchester, NH 03104-4314. The office can be reached at 603-627-3811 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013149418 directly on the NPPES registry website.

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