Active NPI
Nicholas A Bessette
- Orthopedic Physical Therapist
- Middletown, CT
National Provider Identifier
1093227902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 11656
- Practice address
- 140 Main St Ste 4B
Middletown, CT 06457-3437 - Phone
- (860) 343-9572
- NPI assigned
- Nov 1, 2017
- Last updated
- Nov 1, 2017
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 11656 | CT | Primary |
Addresses
Primary practice location
140 Main St Ste 4B
Middletown, CT 06457-3437
Mailing address
101 Hotchkiss Grove Rd Unit 17
Branford, CT 06405-5413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210203001083 | CT | Practitioner - Physical Therapist in Private Practice | 5799199782 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11656 | CT | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509494400000",
"number": "1093227902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HOTCHKISS GROVE RD UNIT 17",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064055413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 MAIN ST STE 4B",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573437",
"telephone_number": "860-343-9572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESSETTE",
"first_name": "NICHOLAS",
"middle_name": "A",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-01",
"last_updated": "2017-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CT",
"license": "11656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.