Allison Wehunt Bourassa, PT, DPT, NCS, ATC

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

10865 Issued in TN

Practice address

1043 Jack Vest Dr
Johnson City, TN 37614

Phone

(423) 439-4044

Fax

(423) 439-5264

NPI assigned

Jun 28, 2013

Last updated

Jan 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Medical University of South Carolina College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Education Assistance CorporationGroup PAC ID 3870491269, 168 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Education Assistance Corporation

  dba ETSU Physicians and Associates

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1235180480
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1194165696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CHARLES ED ALLEN HALL",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376143429",
            "telephone_number": "423-439-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 JACK VEST DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37614",
            "telephone_number": "423-439-4044",
            "fax_number": "423-439-5264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1081 John Robert Bell Dr",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "37614",
            "country_code": "US",
            "telephone_number": "423-439-4044",
            "fax_number": "423-439-5264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1975 W Elk Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376433787",
            "country_code": "US",
            "telephone_number": "423-543-0073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURASSA",
        "first_name": "ALLISON",
        "middle_name": "WEHUNT",
        "credential": "PT, DPT, NCS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TN",
            "license": "10865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q078265",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194165696",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teddy Wayne Booth II, LCSW
• Thomas R. Borthwick, M.D.
• Britny King Boswell Hall, FNP
• Bill N Boswell, M.D.
• Veronica Ann Bosworth, ARNP
• Natasha Bourgoin
• Katherine Paige Bourne, PA-C
• Michelle Bouton, L.AC., M.A.O.M.
• Kelsey Bowden, COTA/L
• Alexis Nicole Bowder, MD

• Neurology Physical Therapist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Neurology Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.