Active NPIIndividual providerSole proprietor

Jessica Bourque, PT

Physical Therapist in Medfield, Massachusetts

NPI Number1275936718
Practice location
147 High St, Medfield, MA 02052-3116
Fax
—
Last updated
September 29, 2014

Jessica Bourque is a Physical Therapist based in Medfield, MA. Jessica Bourque practices in Medfield, MA and has the professional credentials of PT. The NPI Number for Jessica Bourque is 1275936718 and holds a License No. 8777 PT (MA). The current practice location address for Jessica Bourque is 147 High St, Medfield, MA 02052-3116 and can be reached out via phone at 617-640-7275.

Provider Profile Details

NPI Number
1275936718
Provider Name
Jessica Bourque
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
147 High St, Medfield, MA 02052-3116
Phone Number
617-640-7275
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Other Names
-- Jessica Steanrs, PT (Former Name)
Provider Enumeration Date
September 29, 2014
Last Update Date
September 29, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
147 High St
Medfield, MA 02052-3116
Zip
02052-3116
Phone Number
617-640-7275
Medfield, MA 02052Get directions →

Provider Business Mailing Address Details

Address
147 High St
Medfield, MA 02052-3116
City
Medfield
State
MA
Zip
02052-3116
Phone Number
617-640-7275

License Information

License Number
8777 PT
License State
MA
Taxonomy
Physical Therapist · 225100000X · 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 Jessica Bourque, PT?

The NPI number of Jessica Bourque, PT is 1275936718. It was assigned on September 29, 2014 and is currently active in the NPPES registry.

What is the specialty of Jessica Bourque, PT?

Jessica Bourque, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 8777 PT.

Where does Jessica Bourque, PT practice?

The practice location is 147 High St, Medfield, MA 02052-3116. The office can be reached at 617-640-7275 (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 1275936718 directly on the NPPES registry website.

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