Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Spencer Andrew Bourassa, PT, DPT

Individual provider Physical Therapist · NPI 1770209702

Dr. Spencer Andrew Bourassa, PT, DPT is a Physical Therapist in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Florida and Massachusetts.

Licensed in
FL, MA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

9394 W Dodge Rd Ste 300
Omaha, NE 68114-3319
Phone: (800) 732-3784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 26806 (MA)
Physical Therapist Taxonomy 225100000X · Licence PT39406 (FL)

Record details

NPI number1770209702
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedOctober 12, 2022
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023

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