Active NPI
Brianna Lawless
- Physical Therapist
- Bloomfield, CT
National Provider Identifier
1124571989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14.011031
- Practice address
- 35 Jolley Dr
Bloomfield, CT 06002-3062 - Phone
- (860) 242-1578
- Fax
- (860) 242-1585
- NPI assigned
- Jul 28, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 14.011031 | CT | |
| Physical Therapist | 225100000X | 14.011031 | CT | Primary |
Addresses
Primary practice location
35 Jolley Dr
Bloomfield, CT 06002-3062
Mailing address
10 Standish Rd
Ellington, CT 06029-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14.011031 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DG Physical Therapy, P.C. | Current | Accepting new patients | |
| DG Physical Therapy PC | Current | Accepting new patients | |
| DG Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
4 Meeting House Rd
Ste 5
Chelmsford, MA 01824
Phone (978) 970-2460
185 West Ave
Ludlow, MA 01056
Phone (413) 583-2274
Organizations & group practices 3
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 Therapy Clinic/Center
- Chelmsford, MA
- NPI 1295279198
Physical Therapist
-
- Physical Therapy Clinic/Center
- Worcester, MA
- NPI 1639631070
-
- Physical Therapy Clinic/Center
- North Grafton, MA
- NPI 1881270544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1124571989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 STANDISH RD",
"city": "ELLINGTON",
"state": "CT",
"postal_code": "060293636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 JOLLEY DR",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023062",
"telephone_number": "860-242-1578",
"fax_number": "860-242-1585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWLESS",
"first_name": "BRIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-28",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CT",
"license": "14.011031",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "14.011031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.