Brianna Annina Desgrosseilliers, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

160 Riverside Dr
Augusta, ME 04330-4162

Phone

(207) 873-4638

NPI assigned

Feb 11, 2019

Last updated

Feb 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brianna Bisesti Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1639634058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 RIVERSIDE DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304162",
            "telephone_number": "207-622-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 RIVERSIDE DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304162",
            "telephone_number": "207-873-4638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Silver St Bldg Suite",
            "address_purpose": "LOCATION",
            "city": "Waterville",
            "state": "ME",
            "postal_code": "049015813",
            "country_code": "US",
            "telephone_number": "207-873-4638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESGROSSEILLIERS",
        "first_name": "BRIANNA",
        "middle_name": "ANNINA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAE OF MAINE",
            "identifier": "PT5217",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "BISESTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael W Deming, LMFT
• Jeffrey W. Dempski, D.O.
• Den Dent Al. LLC
• Dept. of Veterans Affairs
• Jessa Derania, D.O.
• Linda A. Deshetler, PHD
• Rose Marie Desrosiers, RN
• Stephen M Desrosiers, D.M.D.
• Miriah Lee Deveau
• Erika Devine

• Physical Therapist in Augusta, ME
• Providers in Augusta, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.