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ALLISON WEHUNT BOURASSA PT DPT NCS ATC NPI 1194165696


NPI Information

NPI: 1194165696
Provider Name: ALLISON WEHUNT BOURASSA, PT, DPT, NCS, ATC
Classification: Physical Therapist - 2251N0400X
Entity Type: Individual

Specialization: Neurology

Address:
1043 JACK VEST DR
JOHNSON CITY, TN
ZIP 37614
Phone: (423) 439-4044
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Allison Wehunt Bourassa, PT, DPT, NCS, ATC is a neurology physical therapist in Johnson City, TN with 14 years of experience. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology. Allison Wehunt Bourassa, PT, DPT, NCS, ATC NPI is 1194165696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2010

The provider's business location address is:

1043 JACK VEST DR
JOHNSON CITY, TN
ZIP 37614
Phone: (423) 439-4044
Fax: (423) 439-5264

The enumeration date for this NPI number is 6/28/2013 and was last updated on 1/16/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251N0400XPhysical TherapistNeurology10865TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11194165696MEDICAIDVIRGINIA
2Q078265MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.