Christine Bourque Todd, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

7756 Issued in MA

Practice address

51 Hospital Rd
Baldwinville, MA 01436-1215

Phone

(978) 939-2196

Fax

(978) 939-2233

NPI assigned

Mar 22, 2021

Last updated

Mar 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christine Anne Bourque Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1295311199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 HOSPITAL RD",
            "city": "BALDWINVILLE",
            "state": "MA",
            "postal_code": "014361215",
            "telephone_number": "978-939-2196",
            "fax_number": "978-939-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 HOSPITAL RD",
            "city": "BALDWINVILLE",
            "state": "MA",
            "postal_code": "014361215",
            "telephone_number": "978-939-2196",
            "fax_number": "978-939-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "CHRISTINE",
        "middle_name": "BOURQUE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "7756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "BOURQUE",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Lynn Susa, FNP
• Synaptic Chiropractic Center
• Templeton Board of Health
• The Hospital Cottages for Children
• The Hospital Cottages for Children (Alliance Health at Baldwinville)
• Christen Touchette
• Town of Templeton
• Town of Templeton
• Trustees of Tufts University (Tufts Dental Facility Templeton)
• Lisy D Veliz

• Physical Therapy Assistant in Baldwinville, MA
• Providers in Baldwinville, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.