Amanda L Bourbeau, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

8585 Issued in MA

Practice address

588 Main St Ste 6
Shrewsbury, MA 01545-2920

Phone

(508) 981-0847

NPI assigned

Aug 1, 2011

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1487932943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 MAIN ST STE 6",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015452920",
            "telephone_number": "508-981-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 MAIN ST STE 6",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015452920",
            "telephone_number": "508-981-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURBEAU",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "8585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.centralmasspainstressmanagement.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "soap notes",
            "address_1": "588 Main St Ste 6",
            "city": "Shrewsbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015452920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Blasko
• Anna Bonfiglio, PHARM.D.
• Linda R Booth, NP
• Danielle Bornstein-Elbirt, DVM
• Boston Medical Products, Inc.
• Jeremy Boure
• Corey Ryan Boyle, BCBA
• Sarah Isabelle Bradford
• Nicole Bradley, BCBA
• Amy Elise Bradshaw, PHARMD

• Massage Therapist in Shrewsbury, MA
• Providers in Shrewsbury, MA by specialty
• Massage Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.