Brandon Kyle Bourgoin, DPT
Brandon Kyle Bourgoin, DPT is a Physical Therapist in Private Practice in Kennebunk, Maine. Qualified in 2020, 6 years ago. Practices with Bay State Physical Therapy of Randolph Inc, a 443-clinician group and accepts Medicare assignment. Licensed in Maine.
- Years since qualifying
- 6
- Licensed in
- ME
- In the registry since
- 2020
What do these letters mean?
- DPT — Doctor of Physical Therapy
- The doctoral degree now required to enter physical therapy practice.
Practice location Address checks out
65 Portland Rd Ste 5Kennebunk, ME 04043-6742
Phone: (207) 985-6181
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence PT5831 (ME) |
|---|
Record details
| NPI number | 1215532668 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPT |
| Sole proprietor | No |
| NPI enumerated | December 3, 2020 |
| Last updated in NPPES | December 3, 2020 |
| Certification date | December 3, 2020 |
| Mailing address | 17 Irving St Apt 201, Saco, ME 04072-3226 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Bay State Physical Therapy Of Randolph Inc — 443 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |