MICHAEL BOURASSA (D.P.T.) – Physical Therapist, NPI 1013214816
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL
Provider Addresses for MICHAEL BOURASSA (D.P.T.)
3901 UNIVERSITY BLVD S
JACKSONVILLE, FL 322164312
Phone: (904) 757-1782
Fax: (904) 757-9808
Type: Mailing
310 DUNDAS DR
SUITE 8
JACKSONVILLE, FL 322185588
Phone: (904) 757-1782
Fax: (904) 757-9808
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-11-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171115001575 | I | Physical Therapist In Private Practice | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 95 | 13 | $0 |
Insurance plans in this area (ZIP 32216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TN | |
| Hematology, Internal Medicine | TN | |
| - | TN | |
| Infectious Disease | TN | |
| - | TN | |
| Family Practice | TN | |
| Internal Medicine | TN | |
| Internal Medicine | VA | |
| Nurse Practitioner | TN | |
| - | MD |
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