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ALLISON WEHUNT BOURASSA PT, DPT, NCS, ATC
NPI 1194165696
Physical Therapist - Neurology in Johnson City, TN

Active since June 28, 2013Accepts Medicare Assignment
1043 JACK VEST DR, JOHNSON CITY, TN 37614(423) 439-4044(423) 439-5264 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 30, 2023, Oct 24, 2022 (2 updates tracked since 2022).

About Allison Wehunt Bourassa Pt, Dpt, Ncs, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLISON WEHUNT BOURASSA PT, DPT, NCS, ATC (NPI 1194165696) is an individual neurology provider in Johnson City, Tennessee, licensed in Tennessee (10865) and active in the NPI registry since June 2013. She maintains 2 additional practice locations and is a graduate of Medical University Of South Carolina College Of Medicine (2010).

NPPES Registry Identity

NPI1194165696
Entity TypeIndividualFemale
Primary Taxonomy2251N0400X
Provider Legal NameALLISON WEHUNT BOURASSACredential: PT, DPT, NCS, ATC
Location Address1043 JACK VEST DRJohnson City, TN 37614
Mailing Address216 Charles Ed Allen HallJohnson City, TN 37614-3429 · (423) 439-8275
Phone(423) 439-4044
Fax(423) 439-5264
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2010
Enumeration DateJune 28, 2013
Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1194165696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251N0400X
License✔ Licensed in TN · 10865
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
1043 JACK VEST DR, Johnson City, TN 37614
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Secondary Practice Locations 2

Location 11081 John Robert Bell DrJohnson City, TN 37614 · Phone (423) 439-4044 · Fax (423) 439-5264
Location 21975 W Elk AveElizabethton, TN 37643-3787 · Phone (423) 543-0073

Other Identifiers 2

Medicaid1194165696VA
MedicaidQ078265TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Allison Wehunt Bourassa Pt, Dpt, Ncs, Atc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729451695
PECOS Enrollment IDI20230224001519

Medicare Billing Reassignment

Medicare enrollment records show Allison Bourassa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Education Assistance Corporation
3.1 mi
Internal Medicine
101 MED TECH PKWY STE 306
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 341 clinicians in this Medicare group
NPI 1235180480 (423) 433-6039

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH COOK PT, DPT
Physical Therapist
1043 JACK VEST DR
JOHNSON CITY, TN 37614
Washington County (423) 439-4044
AMANDA M MINICK PT
Physical Therapist
1043 JACK VEST DR
JOHNSON CITY, TN 37614
Washington County (423) 439-4044
SAMANTHA DANIELLE LYON
Psychologist (Clinical)
1043 JACK VEST DR
JOHNSON CITY, TN 37614
Washington County (423) 439-4044
LUIS CARMONA
Physical Therapist
1043 JACK VEST DR
JOHNSON CITY, TN 37614
Washington County (423) 439-4044
MICHAEL D CAVANAH
Physical Therapist
1043 JACK VEST DR
JOHNSON CITY, TN 37614
Washington County (423) 439-4044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allison Bourassa's NPI number?

The NPI number for Allison Bourassa is 1194165696. It was assigned to this individual provider in the NPPES registry on June 28, 2013.

Where is Allison Bourassa located?

Allison Bourassa practices at 1043 Jack Vest Dr, Johnson City, TN 37614. The listed phone number is (423) 439-4044.

What is Allison Bourassa's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Is Allison Bourassa enrolled in Medicare?

Yes. Allison Bourassa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Allison Bourassa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allison Bourassa reassigns Medicare benefits to Medical Education Assistance Corporation (Johnson City, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Allison Bourassa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Allison Bourassa accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Allison Bourassa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allison Bourassa was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.