Active NPIIndividual provider

Ms. Colleen A Burque, PTA

Physical Therapy Assistant in Brimfield, Massachusetts

NPI Number1902264724
Practice location
45 Dean Pond RD, Brimfield, MA 01010-2012
Fax
—
Last updated
February 8, 2016

Colleen Ann Burque is a Physical Therapy Assistant based in Brimfield, MA. Colleen Ann Burque practices in Brimfield, MA and has the professional credentials of PTA. The NPI Number for Colleen Ann Burque is 1902264724 and holds a License No. 1158 (MA). The current practice location address for Colleen Ann Burque is 45 Dean Pond RD, Brimfield, MA 01010-2012 and can be reached out via phone at 413-404-6535.

Provider Profile Details

NPI Number
1902264724
Provider Name
Colleen Ann Burque
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
45 Dean Pond RD, Brimfield, MA 01010-2012
Phone Number
413-404-6535
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
February 8, 2016
Last Update Date
February 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Dean Pond RD
Brimfield, MA 01010-2012
Zip
01010-2012
Phone Number
413-404-6535
Brimfield, MA 01010Get directions →

Provider Business Mailing Address Details

Address
45 Dean Pond RD
Brimfield, MA 01010-2012
City
Brimfield
State
MA
Zip
01010-2012
Phone Number
413-404-6535

License Information

License Number
1158
License State
MA
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 Ms. Colleen A Burque, PTA?

The NPI number of Ms. Colleen A Burque, PTA is 1902264724. It was assigned on February 8, 2016 and is currently active in the NPPES registry.

What is the specialty of Ms. Colleen A Burque, PTA?

Ms. Colleen A Burque, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 1158.

Where does Ms. Colleen A Burque, PTA practice?

The practice location is 45 Dean Pond RD, Brimfield, MA 01010-2012. The office can be reached at 413-404-6535 (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 1902264724 directly on the NPPES registry website.

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