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Stefanie Bourassa , MSPT

Specialist • Enfield, CT

Active NPI 1497925283 Individual Practitioner Female Practitioner
Practice location in NPPES

145 Hazard Ave, Suite B
Enfield, CT 060824521

Call 8602652571 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

145 Hazard Ave
Suite B

Enfield, CT 060824521

Telephone 8602652571
Fax 8602652574
Organization at the Same NPPES Address or Phone
Physical Therapy Plus Llc Facility NPI 1730113051

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Enfield and Connecticut

2 active clinicians are listed under Specialist with a practice address in Enfield, CT (398 in Connecticut).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

License # reported to NPPES CT 008279

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Connecticut Department of Public Health Verification.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Birthdate
51084 (CT)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Amy Clark

Physical Therapist

NPI 1689032930
Dr. Kelsey Kreminec , DPT

Physical Therapist

NPI 1205588290

Doctor of Physical Therapy

Dr. Adam Majka , DPT

Physical Therapist

NPI 1053839126

Doctor of Physical Therapy

Michael Millett

Physical Therapist

NPI 1225344021
Michelle Quirk

Physical Therapist

NPI 1346281565

Career & Practice History

NPI enumerated March 07, 2008.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1497925283
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2008
Last Update: March 07, 2008
Sole Proprietor: No

Mailing Address

145 Hazard Ave, Suite B

Enfield, CT 060824521

Phone: 8602652571

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.