Active NPI
Ronald Joseph Brissette
- Physical Therapy Assistant
- Celebration, FL
National Provider Identifier
1013783703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA32399
- Practice address
- 2954 Mallory Cir Ste 110
Celebration, FL 34747-1822 - Phone
- (321) 939-0222
- NPI assigned
- Dec 4, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA32399 | FL | Primary |
Addresses
Primary practice location
2954 Mallory Cir Ste 110
Celebration, FL 34747-1822
Mailing address
12570 Splendid PL Apt 1309
Orlando, FL 32821-0023
Phone (716) 598-3833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA32399 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Celebration Orthopedic and Sports Medicine Institute Inc | Past | Accepting new patients | |
| Celebration Orthopedic and Sports Medicine Institute Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Celebration, FL
- NPI 1558438036
-
- Orthopaedic Surgery Physician
- Orlando, FL
- NPI 1659254456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1013783703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12570 SPLENDID PL APT 1309",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328210023",
"telephone_number": "716-598-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2954 MALLORY CIR STE 110",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347471822",
"telephone_number": "321-939-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISSETTE",
"first_name": "RONALD",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-04",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA32399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Celebration, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.