Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MRS. NICOLE J BUURMA
Active
Individual
MRS. NICOLE J BUURMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070015873
IL
225100000X
Physical Therapist
Primary
PT60011687
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619908
BCBS IL GROUP NUMBER
IL
01
—
1623066
BCBS PROVIDER #
IL
01
—
200852
MEDICARE GROUP#
IL
01
—
202542
MEDICARE GROUP #
IL
01
—
367885100
US DEPT OF LABOR
IL
01
—
567770
MEDICARE GROUP #
IL
01
—
568080
MEDICARE GROUP NUMBER
IL
01
—
CJ4383
R.R. MEDICARE GROUP #
IL
01
—
GAB14760
MEDICARE GROUP NUMBER
WA
Enumeration date
08/24/2007
Last updated
12/01/2025
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