Active NPI
Brian Joseph Duquette, PT
- Physical Therapist
- Pittsfield, MA
National Provider Identifier
1003884263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16385
- Practice address
- 24 Park Street
Pittsfield, MA 01201 - Phone
- (413) 629-1919
- Fax
- (413) 629-1918
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 230411 | NY | |
| Physical Therapist | 225100000X | 16385 | MA | Primary |
Addresses
Primary practice location
24 Park Street
Pittsfield, MA 01201
Mailing address
24 Park Street
Pittsfield, MA 01201
Phone (413) 629-1919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02304992 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- New York Medical College, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24 Park St
Pittsfield, MA 01201-4037
Phone (413) 629-1919
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23041 | NY | MD | Dentist |
| 230411 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Orthopaedic Associates, Inc. | Physical Therapist | Current | Accepting new patients |
| Berkshire Orthopaedic Associates, Inc. | Current | Accepting new patients | |
| Physical Therapy Associates of Schenectady | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Associates of Schenectady, PC | Physical Therapist | Past | Accepting new patients |
Locations
24 Park St
Pittsfield, MA 01201
Phone (413) 499-6600
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Pittsfield, MA
- NPI 1689984247
-
- Occupational Therapist
- Pittsfield, MA
- NPI 1770893331
-
- Physical Therapist
- Clifton Park, NY
- NPI 1093896755
-
- Physical Therapist
- Troy, NY
- NPI 1245313097
-
- Physical Therapist
- Niskayuna, NY
- NPI 1477637569
-
- Physical Therapist
- Colonie, NY
- NPI 1649351388
-
- Physical Therapist
- Ballston Spa, NY
- NPI 1225346448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333065600000",
"number": "1003884263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 PARK STREET",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "01201",
"telephone_number": "413-629-1919",
"fax_number": "413-629-1918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 PARK STREET",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "01201",
"telephone_number": "413-629-1919",
"fax_number": "413-629-1918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUQUETTE",
"first_name": "BRIAN",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2012-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "230411",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "16385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02304992",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.