Active NPI
Jessica Bassett, MPT
- Physical Therapist
- Brunswick, ME
National Provider Identifier
1164540688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3062
- Practice address
- 329 Maine St
Brunswick, ME 04011-3310 - Phone
- (207) 373-2293
- NPI assigned
- Mar 26, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3062 | ME | Primary |
| Physical Therapist | 225100000X | 5048 | SC | |
| Physical Therapist | 225100000X | 17058 | MA |
Addresses
Primary practice location
329 Maine St
Brunswick, ME 04011-3310
Mailing address
290 Great Fields Rd.
Brewster, MA 02631
Phone (508) 815-9995
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17058 | MA | MD | Physical Therapist |
| 5048 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Optimal Performance Physical Therapy,LLC | Physical Therapist | 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.
-
- Physical Therapist
- Richmond, ME
- NPI 1053312470
-
- Physical Therapist
- Scarborough, ME
- NPI 1518953959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164540688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 GREAT FIELDS RD.",
"city": "BREWSTER",
"state": "MA",
"postal_code": "02631",
"telephone_number": "508-815-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 MAINE ST",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113310",
"telephone_number": "207-373-2293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSETT",
"first_name": "JESSICA",
"name_prefix": "Ms.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT3062",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "5048",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17058",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.