C. Anthony Bourn

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

142 Issued in NH

Practice address

237 Route 108
Suite 101
Somersworth, NH 03878-1517

Phone

(603) 749-6686

Fax

(603) 750-3174

NPI assigned

Jan 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598818130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ROUTE 108",
            "address_2": "SUITE 3",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781119",
            "telephone_number": "603-742-7492",
            "fax_number": "603-742-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 ROUTE 108",
            "address_2": "SUITE 101",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781517",
            "telephone_number": "603-749-6686",
            "fax_number": "603-750-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURN",
        "first_name": "C.",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "142",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "1577",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "08Y009940NH01",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30394032",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• John D Bloom, M.D.
• Ivy Marie Boggs, MS/CCC-SLP
• Deirore A Boryszewski, CRSW
• Leslie Ann Bouvier, DMD
• Kristine Bowers
• Bracken Godfrey DDS Ms LLC (Godfrey Dentistry)
• John Henry Brackett
• Robert D Breig, RPH

• Physical Therapist in Somersworth, NH
• Providers in Somersworth, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.