What is Jerry Bourassa's NPI number?

Jerry Bourassa's National Provider Identifier (NPI) is 1376721779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jerry Bourassa's specialty?

Jerry Bourassa is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Jerry Bourassa located?

Jerry Bourassa's practice location on file with NPPES is 146 S Granite St, Prescott, AZ 86303-4710.

What is Jerry Bourassa's phone number?

The practice phone number listed in the NPPES registry for Jerry Bourassa is (928) 717-3236.

Is Jerry Bourassa's NPI active?

Yes — Jerry Bourassa's NPI (1376721779) is active in the NPPES registry as of the last update on 2008-02-07.

IndividualActive

Jerry Bourassa, PHYSICAL THERAPSIT

NPI 1376721779 · Specialist · Prescott, AZ

Jerry Bourassa, PHYSICAL THERAPSIT is a Specialist provider in Prescott, AZ (NPI 1376721779).

Provider details

NPI number: 1376721779
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: PHYSICAL THERAPSIT
Sex: Male
Sole proprietor: Yes
License: 1370 (AZ)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 1370 (AZ)
Other Service Providers

Profile Score

Detailed profile(88/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 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

146 S Granite St

Prescott, AZ 86303-4710

Phone: (928) 717-3236

Street-level locationGet directions

More AZ providers

Mailing address