James M Bourdet, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0521 Issued in OR

Practice address

1270 Center St NE
Salem, OR 97301-4113

Phone

(503) 581-7232

Fax

(503) 581-6511

NPI assigned

Jul 5, 2005

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Salem Physical Therapy

  • Physical Therapist
  • Salem, OR
  • NPI 1235311713
  NPD (past)

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1609873637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 RIDGEWOOD RD SE",
            "city": "JEFFERSON",
            "state": "OR",
            "postal_code": "973529217",
            "telephone_number": "541-327-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 CENTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014113",
            "telephone_number": "503-581-7232",
            "fax_number": "503-581-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURDET",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "0521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237107",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Lee Bossen
• Charity Bost
• Dawn Elizabeth Bost, MD
• Catherine Aine Boulay, MD
• Francine Helen Boullosa, PHYSICIAN ASSISTANT
• Nancy S Boutin, M.D.
• Mark David Boutros, PT, DPT
• Ashleh Dawn Bowen
• Elizabeth Jocelyn Bowen, M.D.
• Kameron Jay Bowen, THW CHW PSS

• Physical Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.