Mamawah Bourque, P.T.
NPI 1053659649 · Physical Therapist · Dallas, TX
Mamawah Bourque, P.T. is a Physical Therapist provider in Dallas, TX (NPI 1053659649).
Provider details
- NPI number
- 1053659649
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1210663 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-01-16
- Last updated
- 2013-01-16
Frequently asked questions
- What is Mamawah Bourque's NPI number?
- Mamawah Bourque's National Provider Identifier (NPI) is 1053659649, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mamawah Bourque's specialty?
- Mamawah Bourque is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mamawah Bourque located?
- Mamawah Bourque's practice location on file with NPPES is 14332 Montfort Dr, Dallas, TX 75254-8486.
- What is Mamawah Bourque's phone number?
- The practice phone number listed in the NPPES registry for Mamawah Bourque is (713) 256-4708.
- Is Mamawah Bourque's NPI active?
- Yes — Mamawah Bourque's NPI (1053659649) is active in the NPPES registry as of the last update on 2013-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.