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Deactivated NPI 1225036809 Deactivated / Inactive NPI Male Practitioner

Todd Lee Bourquin , PHYSICAL THERAPIST

Physical Therapist • Irving, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Todd Bourquin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 08, 2005
NPI Deactivation Date July 16, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Todd Bourquin, PHYSICAL THERAPIST was a registered Physical Therapist practicing in Irving, TX. Throughout an active medical career spanning 21 years, Todd Bourquin provided care at the practice location at 4501 N O'CONNOR RD until profile deactivation on 2026-07-16.

Historical Medicare Part B clinical services included therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each, therapy procedure using functional activities. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4501 N O'connor Rd
Ste 1108

Irving, TX 75062

Telephone 8179090987

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Irving, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.9 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
182 Specialists

Practicing in Irving, TX (15382 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
575 101 $68.00 $21.54
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
439 87 $67.31 $26.11
97530 Therapy procedure using functional activities
270 67 $69.42 $31.82
97140 Therapy procedure using manual technique, each 15 minutes
65 21 $69.22 $19.19
97161 Evaluation of physical therapy, typically 20 minutes
43 42 $159.77 $97.19
97162 Evaluation for physical therapy, typically 30 minutes
14 14 $179.00 $97.23

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License TX 1152227

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated July 16, 2026

Record deactivated on July 16, 2026

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2021

Physical Therapist (License #CP001166T in OK)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4501 N O'CONNOR RD, STE 1108, IRVING, TX 75062 (Tel: 8179090987)

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Updated Business Mailing Address July 08, 2007

Registered at 4501 N O'CONNOR RD, #1108, IRVING, TX 75062 (Tel: 8179090987)

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Provider Name / Credentials Updated July 08, 2007

Recorded as TODD BOURQUIN, PHYSICAL THERAPIST

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physical Therapist (License #1152227 in TX)

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Initial NPI Registration & Enumeration July 08, 2005

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: 1225036809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2005
Last Update: July 08, 2007
Deactivation Date: July 16, 2026

Mailing Address

4501 N O'connor Rd, #1108

Irving, TX 75062

Phone: 8179090987

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.