Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497925283 Individual Practitioner Female Practitioner

Stefanie Bourassa , MSPT

Specialist • Enfield, CT

Professional Overview & Biography Verified Profile Summary

Stefanie Bourassa, MSPT is a registered healthcare professional specializing in Specialist in Enfield, CT. Practice services are available at 145 HAZARD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

145 Hazard Ave
Suite B

Enfield, CT 060824521

Telephone 8602652571
Fax 8602652574
Associated Practice Facility / Clinic
🏢 Physical Therapy Plus Llc Facility NPI 1730113051

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Enfield, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Enfield, CT (452 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CT 008279

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Birthdate
51084 (CT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1003121336

Doctor of Physical Therapy

Dr. Adam Majka , DPT

Physical Therapist

NPI 1053839126

Doctor of Physical Therapy

Dr. Kelly Murray , DPT

Physical Therapist

NPI 1164855565

Doctor of Physical Therapy

Dr. Kelsey Kreminec , DPT

Physical Therapist

NPI 1205588290

Doctor of Physical Therapy

Michael Millett

Physical Therapist

NPI 1225344021
Michelle Quirk

Physical Therapist

NPI 1346281565

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 07, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2008

Registered at 145 HAZARD AVE, SUITE B, ENFIELD, CT 060824521 (Tel: 8602652571)

📍
Updated Business Mailing Address March 07, 2008

Registered at 145 HAZARD AVE, SUITE B, ENFIELD, CT 060824521 (Tel: 8602652571)

👤
Provider Name / Credentials Updated March 07, 2008

Recorded as STEFANIE BOURASSA, MSPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2008

Specialist (License #008279 in CT)

🟢
Initial NPI Registration & Enumeration March 07, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497925283
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2008
Last Update: March 07, 2008
Sole Proprietor: No

Mailing Address

145 Hazard Ave, Suite B

Enfield, CT 060824521

Phone: 8602652571

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.