Adam Brissette, OTR
Individual provider Active NPI Occupational Therapist · Sault Sainte Marie, MI
NPI 1235569880 · NPPES record last updated Nov 18, 2013
Key facts
- NPI
- 1235569880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201008269 (MI)
- Practice address
- 1011 Meridian St
Sault Sainte Marie, MI 49783-2650 - Phone
- (906) 635-1518
- Fax
- (906) 635-1436
- NPI assigned
- Nov 18, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201008269 | MI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201008269 | MI | Yes |
Addresses
Primary practice location
1011 Meridian St
Sault Sainte Marie, MI 49783-2650
Mailing address
930 Strawberry LN
Gaylord, MI 49735-9315
Phone (989) 305-0840
Other providers in Sault Sainte Marie, MI
- Matthew A Bowes
- Anna Boyd
- Rae Ann Brand
- Brian Matthews O.D. L.L.C.
- Dennis Lee Brindley
- Jaimee Suzanne Brow
- Haley Brown
- Laurie Anne Brown
- Kori Ann Mitchell Bryan
- Melinda Sue Buckalew
All providers in Sault Sainte Marie, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2013. 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.