Cheryl Adams Bourgoin, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

464 Issued in ME

Practice address

12 Stillwater Ave
Bangor, ME 04401-3984

Phone

(207) 945-2946

NPI assigned

Jun 4, 2007

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

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.

• Pouzol Physical Therapy, PA

  • Physical Therapist
  • Bangor, ME
  • NPI 1982790945

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1689876492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 FOWLERS LANDING RD",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044443438",
            "telephone_number": "207-907-9068",
            "fax_number": "207-941-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013984",
            "telephone_number": "207-945-2946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Penn Plz # B",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013619",
            "country_code": "US",
            "telephone_number": "207-990-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURGOIN",
        "first_name": "CHERYL",
        "middle_name": "ADAMS",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ME",
            "license": "464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Boucher, LMSW-CC
• Gary Boudreau, LD
• Hannah Gillan Boudreau, MHRT-C, CADC
• Marybeth Boudreau, PHARM.D.
• Nina E Boulard, PH.D.
• Kathryn E Bourgoin, MD
• Jason Bourque, M.D.
• Suzanne Bourque, M.D., B. SC
• Christopher Antoine Boustany, M.D.
• Kaitlyn Brianna Bouton, LMSW-CC

• Orthopedic Physical Therapist in Bangor, ME
• Providers in Bangor, ME by specialty
• Orthopedic Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.