Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Bourassa, DPT

Individual provider Physical Therapist · NPI 1013214816

Michael Bourassa, DPT is a Physical Therapist in Private Practice in Jacksonville, Florida. Qualified in 2010, 16 years ago. Practices with Medical Education Assistance Corporation, a 176-clinician group and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
16
Licensed in
FL, NC
In the registry since
2011
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

310 Dundas Dr Ste 8
Jacksonville, FL 32218-5588
Phone: (904) 757-1782
Fax: (904) 757-9808
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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 27105 (FL)
Physical Therapist Taxonomy 225100000X · Licence P13029 (NC)

Record details

NPI number1013214816
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 15, 2011
Last updated in NPPESFebruary 9, 2012
Mailing address3901 University Blvd S, Jacksonville, FL 32216-4312

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Medical Education Assistance Corporation — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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