Jim Bienvenue

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6295 Issued in MA

Practice address

151 Christian Hill Rd
Great Barrington, MA 01230-1108

Phone

(413) 528-7121

NPI assigned

Nov 6, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1043683436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3524",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012023524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 CHRISTIAN HILL RD",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301108",
            "telephone_number": "413-528-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENVENUE",
        "first_name": "JIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "6295",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "0050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berkshire Mountain Chiropractic, P.C.
• Berkshire Mountain Health
• Berkshire Sleep Solutions LLC
• Lina Maria Bermudez, DDS
• Betterlife Psychiatry
• Big Y Foods, Inc
• Bill'S Pharmacy of Great Barrington, Inc.
• Victoria Bloomer, COTA
• Blue House Therapy, LLC
• Amy Elizabeth Boardman

• Physical Therapy Assistant in Great Barrington, MA
• Providers in Great Barrington, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.