RYAN PATRICK BOURDELAIS – Occupational Therapist, NPI 1467968313

RYAN PATRICK BOURDELAIS is a healthcare provider. based in Suamico, Wisconsin. specializing in Occupational Therapist. They hold a License No. 6155 (WI). The NPI Number for RYAN PATRICK BOURDELAIS is 1467968313

Main info

Male
Name
RYAN PATRICK BOURDELAIS
NPI
1467968313
Phone
(715) 923-1080
Address
2002 PINK DOGWOOD WAY
Enumeration Date
14 December 2017
Last Update Date
14 December 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for RYAN PATRICK BOURDELAIS

  • 2002, Pink Dogwood Way, Suamico, Brown County, Wisconsin, 54313, United States

    SUAMICO, WI 543133241

    Phone: (715) 923-1080

    Type: Mailing

  • 200, South 9th Street, West De Pere, De Pere, Brown County, Wisconsin, 54115, United States

    DE PERE, WI 541151393

    Phone: (920) 338-4146

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54313)

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Reviews

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Frequently asked questions

How is RYAN PATRICK BOURDELAIS identified in CMS data?
CMS-hosted NPPES data lists RYAN PATRICK BOURDELAIS with NPI 1467968313.
Does the file indicate RYAN PATRICK BOURDELAIS is practicing under active NPI?
Directory data currently reports RYAN PATRICK BOURDELAIS as active.
What is RYAN PATRICK BOURDELAIS best known for clinically?
Directory data describes RYAN PATRICK BOURDELAIS with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is RYAN PATRICK BOURDELAIS based?
RYAN PATRICK BOURDELAIS is tied to Suamico, Wisconsin in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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