Maureen M Bourque, P.T.
Individual provider Active NPI Specialist · Falmouth, ME
NPI 1821068388 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1821068388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- ME115227 (ME)
- Practice address
- 5 Fundy Rd
Falmouth, ME 04105-1704 - Phone
- (207) 781-8358
- Fax
- (207) 781-8357
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME115227 | ME | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Manual Therapy Associates | Past | Accepting new patients | |
| Dr. Baum Neuropsychology, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME115227 | ME | Yes |
Addresses
Primary practice location
5 Fundy Rd
Falmouth, ME 04105-1704
Mailing address
5 Fundy Rd
Falmouth, ME 04105-1704
Phone (207) 781-8358
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11538314 | Other | ME | CAQH |
Other providers in Falmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.