Active NPIIndividual provider

Kevin J Bourlai, PT

Physical Therapist in Bend, Oregon

NPI Number1588604649
Practice location
730 SW Bonnett Way, Bend, OR 97702-1192
Fax
—
Last updated
February 1, 2016

Kevin J. Bourlai is a Physical Therapist based in Bend, OR. Kevin J. Bourlai practices in Bend, OR and has the professional credentials of PT. The NPI Number for Kevin J. Bourlai is 1588604649 and holds a License No. PT-1393 (HI). The current practice location address for Kevin J. Bourlai is 730 SW Bonnett Way, Bend, OR 97702-1192 and can be reached out via phone at 808-283-4139.

Provider Profile Details

NPI Number
1588604649
Provider Name
Kevin J. Bourlai
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
730 SW Bonnett Way, Bend, OR 97702-1192
Phone Number
808-283-4139
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
June 7, 2006
Last Update Date
February 1, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
730 SW Bonnett Way
Bend, OR 97702-1192
City
Bend
State
Oregon
Zip
97702-1192
Phone Number
808-283-4139
Bend, OR 97702Get directions →

Provider Business Mailing Address Details

Address
20403 Buttermilk
Bend, OR 97702-9490
City
Bend
State
OR
Zip
97702-9490
Phone Number
808-283-4139

License Information

License Number (1)
PT-1393
License State (1)
HI
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
5882
License State (2)
OR
Taxonomy (2)
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 Kevin J Bourlai, PT?

The NPI number of Kevin J Bourlai, PT is 1588604649. It was assigned on June 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Kevin J Bourlai, PT?

Kevin J Bourlai, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in HI under license number PT-1393.

Where does Kevin J Bourlai, PT practice?

The practice location is 730 SW Bonnett Way, Bend, OR 97702-1192. The office can be reached at 808-283-4139 (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 1588604649 directly on the NPPES registry website.

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