Timothy Bissonette, PT
Individual provider Active NPI Physical Therapist · Colchester, VT
NPI 1346569936 · NPPES record last updated May 22, 2010
Key facts
- NPI
- 1346569936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 040.0063541 (VT)
- Practice address
- 790 College Pkwy
Colchester, VT 05446-3007 - Phone
- (802) 847-5353
- NPI assigned
- May 22, 2010
- 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 |
|---|---|---|---|
| 040.0063541 | VT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040.0063541 | VT | Yes |
Addresses
Primary practice location
790 College Pkwy
Colchester, VT 05446-3007
Mailing address
3733 Lakeview Dr
North Hero, VT 05474-9822
Phone (802) 372-3117
Other providers in Colchester, VT
- Ashley Bennett
- Kelly Benoit
- Michael C Bergeron
- Paul Vincent Bertocci
- Rebecca Lynne Bissonette
- Leora Elizabeth Black
- Courtney Bliese
- Anna M Bolanis
- Jessica Jean Bolduc
- Nicole Bonneau
All providers in Colchester, VT · Physical Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2010. 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.