Mr Todd Lee Bourquin, PHYSICAL THERAPIST in Irving, TX - Medicare Physical Therapy Provider

Mr Todd Lee Bourquin, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapist" provider in Irving, Texas. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Kinect Physical Therapy Pllc and his current practice location is 4501 N O'connor Rd, Ste 1108, Irving, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 909-0987.

Mr Todd Lee Bourquin is licensed to practice in Oklahoma (license number CP001166T) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225036809.

Contact Information

	Mr Todd Lee Bourquin, PHYSICAL THERAPIST
	4501 N O'connor Rd, Ste 1108, Irving, TX 75062
	(817) 909-0987
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Todd Lee Bourquin
Gender	Male
Speciality	Physical Therapy
Experience	29 Years
Location	4501 N O'connor Rd, Irving, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Todd Lee Bourquin graduated from medical school in 1995

NPI Data:

NPI Number: 1225036809
Provider Enumeration Date: 07/08/2005
Last Update Date: 05/27/2021

Medicare PECOS Information:

PECOS PAC ID: 1153629886
Enrollment ID: I20160413002269

Medical Identifiers

Medical identifiers for Mr Todd Lee Bourquin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225036809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	CP001166T (Oklahoma)	Primary
225100000X	Physical Therapist	1152227 (Texas)	Secondary
225100000X	Physical Therapist	3267 (Arizona)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kinect Physical Therapy Pllc	3476713009	59

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Todd Lee Bourquin allows following entities to bill medicare on his behalf.

Provider Name	Anderson & Bates Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003098245 PECOS PAC ID: 5193749976 Enrollment ID: O20060119000413

Provider Name	Kinect Physical Therapy Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811265929 PECOS PAC ID: 3476713009 Enrollment ID: O20120319000836

Provider Name	Rv Healthcare Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1619333739 PECOS PAC ID: 9537466099 Enrollment ID: O20160328001877

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Todd Lee Bourquin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Todd Lee Bourquin, PHYSICAL THERAPIST 4501 N O'connor Rd, #1108, Irving, TX 75062 Ph: (817) 909-0987	Mr Todd Lee Bourquin, PHYSICAL THERAPIST 4501 N O'connor Rd, Ste 1108, Irving, TX 75062 Ph: (817) 909-0987

Reviews and Comments

Physical Therapist in Irving, TX

Peter Zatezalo, DPT, OCS, COMT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5001 Statesman Dr, Irving, TX 75063 Phone: 469-524-1506
Mary Elizabeth Vandeven, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5001 Statesman Dr, Irving, TX 75063 Phone: 800-788-4815
Toni Bernett Lindsey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6750 N Macarthur Blvd, Irving, TX 75039 Phone: 972-969-2140
Seth Manly, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2001 N Macarthur Blvd, Suite 550, Irving, TX 75061 Phone: 972-579-4398
Christy Coppolo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5001 Statesman Dr, Irving, TX 75063 Phone: 800-788-4815
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 N Macarthur Blvd, Irving, TX 75061 Phone: 972-887-3318 Fax: 972-887-3527
Alejandra Maria Ordaz, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1431 Greenway Dr Ste 500, Irving, TX 75038 Phone: 210-457-2000

Mr Todd Lee Bourquin, PHYSICAL THERAPIST - Medicare Physical Therapist in Irving, TX