Timothy Joseph Brassard, MS PT
Individual provider Active NPI Physical Therapist · Bristol, RI
NPI 1235468554 · NPPES record last updated Dec 15, 2009
Key facts
- NPI
- 1235468554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT01740 (RI)
- Practice address
- 175 Wood St
Bristol, RI 02809-3117 - Phone
- (401) 253-2863
- NPI assigned
- Dec 15, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT01740 | RI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT01740 | RI | Yes |
Addresses
Primary practice location
175 Wood St
Bristol, RI 02809-3117
Mailing address
175 Wood St
Bristol, RI 02809-3117
Phone (401) 253-2863
Other providers in Bristol, RI
- June M Bjerregaard
- Natalie Jamieson Blomdahl
- Rachel Elise Borges
- Shaelyn O'Reilly Bouchard
- Katharine Elizabeth Boynton
- John L Braun
- Bristol Assisted Living, LP
- Bristol Chiropractic LLC
- Bristol County Eye Care LLC
- Bristol County Open MRI
All providers in Bristol, RI · Physical Therapist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.