Peter Brouillard, DPT
Physical Therapist in Shirley, Massachusetts
1639851017- Practice location
- 2 Shaker RD Ste C200, Shirley, MA 01464-2525
- Phone
- 978-615-9121
- Fax
- 978-245-2338
- Last updated
- March 5, 2025
Peter Brouillard is a Physical Therapist based in Shirley, MA. Peter Brouillard practices in Shirley, MA and has the professional credentials of DPT. The NPI Number for Peter Brouillard is 1639851017 and holds a License No. PTL23118 (MA). The current practice location address for Peter Brouillard is 2 Shaker RD Ste C200, Shirley, MA 01464-2525 and can be reached out via phone at 978-615-9121 and via fax at 978-245-2338.
Provider Profile Details
- NPI Number
- 1639851017
- Provider Name
- Peter Brouillard
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2 Shaker RD Ste C200, Shirley, MA 01464-2525
- Phone Number
- 978-615-9121
- Fax Number
- 978-245-2338
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 3, 2023
- Last Update Date
- March 5, 2025
- Certification Date
- March 5, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Shaker RD Ste C200
Shirley, MA 01464-2525 - City
- Shirley
- State
- Massachusetts
- Zip
- 01464-2525
- Phone Number
- 978-615-9121
- Fax Number
- 978-245-2338
Provider Business Mailing Address Details
- Address
- 2 Shaker RD Ste C200
Shirley, MA 01464-2525 - City
- Shirley
- State
- MA
- Zip
- 01464-2525
- Phone Number
- 978-615-9121
- Fax Number
- 978-245-2338
License Information
- License Number
- PTL23118
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Peter Brouillard, DPT?
The NPI number of Peter Brouillard, DPT is 1639851017. It was assigned on August 3, 2023 and is currently active in the NPPES registry.
What is the specialty of Peter Brouillard, DPT?
Peter Brouillard, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number PTL23118.
Where does Peter Brouillard, DPT practice?
The practice location is 2 Shaker RD Ste C200, Shirley, MA 01464-2525. The office can be reached at 978-615-9121 (phone) or 978-245-2338 (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 1639851017 directly on the NPPES registry website.