Active NPIIndividual provider

Lisa M Breton, PTA, LAC

Physical Therapy Assistant in Watertown, Connecticut

NPI Number1013290915
Practice location
35 Bunker Hill RD, Watertown, CT 06795-3304
Fax
—
Last updated
December 7, 2023

Lisa Michele Breton is a Physical Therapy Assistant based in Watertown, CT. Lisa Michele Breton practices in Watertown, CT and has the professional credentials of PTA, LAC. The NPI Number for Lisa Michele Breton is 1013290915 and holds a License No. 000064 (CT). The current practice location address for Lisa Michele Breton is 35 Bunker Hill RD, Watertown, CT 06795-3304 and can be reached out via phone at 860-274-5429.

Provider Profile Details

NPI Number
1013290915
Provider Name
Lisa Michele Breton
Credential
PTA, LAC
Provider Entity Type
Individual
Gender
Female
Address
35 Bunker Hill RD, Watertown, CT 06795-3304
Phone Number
860-274-5429
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
September 27, 2011
Last Update Date
December 7, 2023
Certification Date
December 7, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Bunker Hill RD
Watertown, CT 06795-3304
Zip
06795-3304
Phone Number
860-274-5429
Watertown, CT 06795Get directions →

Provider Business Mailing Address Details

Address
117 River St Unit B
Milford, CT 06460-3315
City
Milford
State
CT
Zip
06460-3315
Phone Number
203-442-6297

License Information

License Number (1)
000064
License State (1)
CT
Taxonomy (1)
Physical Therapy Assistant · 225200000X · Primary
License Number (2)
000860
License State (2)
CT
Taxonomy (2)
Acupuncturist · 171100000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa M Breton, PTA, LAC?

The NPI number of Lisa M Breton, PTA, LAC is 1013290915. It was assigned on September 27, 2011 and is currently active in the NPPES registry.

What is the specialty of Lisa M Breton, PTA, LAC?

Lisa M Breton, PTA, LAC is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in CT under license number 000064.

Where does Lisa M Breton, PTA, LAC practice?

The practice location is 35 Bunker Hill RD, Watertown, CT 06795-3304. The office can be reached at 860-274-5429 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013290915 directly on the NPPES registry website.

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