Active NPIIndividual provider

Dr. Adam R Brissenden, PT, DPT, CERT DN

Physical Therapist in Wakefield, Rhode Island

NPI Number1104219054
Practice location
163 Main St, Wakefield, RI 02879-3504
Fax
401-782-0890
Last updated
July 23, 2021

Adam Ramon Brissenden is a Physical Therapist based in Wakefield, RI. Adam Ramon Brissenden practices in Wakefield, RI and has the professional credentials of PT, DPT, CERT DN. The NPI Number for Adam Ramon Brissenden is 1104219054 and holds a License No. 0013158 (CO). The current practice location address for Adam Ramon Brissenden is 163 Main St, Wakefield, RI 02879-3504 and can be reached out via phone at 401-782-4049 and via fax at 401-782-0890.

Provider Profile Details

NPI Number
1104219054
Provider Name
Adam Ramon Brissenden
Credential
PT, DPT, CERT DN
Provider Entity Type
Individual
Gender
Male
Address
163 Main St, Wakefield, RI 02879-3504
Phone Number
401-782-4049
Fax Number
401-782-0890
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
March 16, 2015
Last Update Date
July 23, 2021
Certification Date
July 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
163 Main St
Wakefield, RI 02879-3504
Zip
02879-3504
Phone Number
401-782-4049
Fax Number
401-782-0890
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
1307 E Prospect RD
Suite 120
Fort Collins, CO 80525-1187
City
Fort Collins
State
CO
Zip
80525-1187
Phone Number
970-568-8461
Fax Number
970-460-0136

License Information

License Number (1)
0013158
License State (1)
CO
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
PT02966
License State (2)
RI
Taxonomy (2)
Physical Therapist · 225100000X · Primary

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 Dr. Adam R Brissenden, PT, DPT, CERT DN?

The NPI number of Dr. Adam R Brissenden, PT, DPT, CERT DN is 1104219054. It was assigned on March 16, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Adam R Brissenden, PT, DPT, CERT DN?

Dr. Adam R Brissenden, PT, DPT, CERT DN is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CO under license number 0013158.

Where does Dr. Adam R Brissenden, PT, DPT, CERT DN practice?

The practice location is 163 Main St, Wakefield, RI 02879-3504. The office can be reached at 401-782-4049 (phone) or 401-782-0890 (fax).

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 1104219054 directly on the NPPES registry website.

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