Matthew Dennis Bourbeau, PTA

Physical Therapy Assistant · Springfield, MA

Individual Active NPI

NPI number 1780762773

Practice location

300 Stafford St
Suite 360
Springfield, MA 01104-3581
Phone
(413) 734-8440
Fax
(413) 731-6703

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NPI record

NPI
1780762773
Entity type
Individual (Type 1)
Enumeration date
November 1, 2006
Last updated
July 16, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 2200 MA

Mailing address

300 Stafford St
360
Springfield, MA 01104-3581
Phone
(413) 734-8440
Fax
(413) 731-6703

About Matthew Bourbeau

Matthew Dennis Bourbeau, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 300 Stafford St, Suite 360, Springfield, MA 01104-3581. The NPI number 1780762773 was assigned on November 1, 2006 and the record was last updated on July 16, 2007.

Matthew Bourbeau lists a license in the registry: #2200 (MA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Matthew Dennis Bourbeau, PTA?

The NPI number is 1780762773.

What is the phone number of Matthew Bourbeau?

The phone number listed for the practice location is (413) 734-8440.

Where is Matthew Bourbeau located?

300 Stafford St, Suite 360, Springfield, MA 01104-3581.

What is the taxonomy code for Matthew Bourbeau?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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