NPIMap

Individual provider Active NPI

Michelle Puzzo, PT

  • Physical Therapist
  • Tolland, CT
National Provider Identifier
1699720474
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006545 Issued in CT
Practice address
200 Merrow Rd
Unit 2
Tolland, CT 06084-3416
Phone
(860) 872-8357
Fax
(860) 872-8397
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006545 CT Primary

Addresses

Primary practice location

200 Merrow Rd
Unit 2
Tolland, CT 06084-3416

Mailing address

31 Old Route 7
Attn: Credentialing Dept
Brookfield, CT 06804-1714
Phone (203) 740-0020

Other identifiers 3

IdentifierTypeStateIssuer
004203577MedicaidCT
2V8093OtherCTHEALTHNET
080006545CTOtherCTANTHEM BC

Other names 1

  • Michelle Bussiere Former name

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

LicenseStateTypeSpecialty
006545CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Byron V Hartunian MD PC Past Accepting new patients
McGovern Physical Therapy Associates LLC Physical Therapist Past Accepting new patients
Carlson Therapy Network, PC Physical Therapist PastSince May 1, 2021 Accepting new patients
Dr Jennifer S Wu PC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1699720474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OLD ROUTE 7",
            "address_2": "ATTN: CREDENTIALING DEPT",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041714",
            "telephone_number": "203-740-0020",
            "fax_number": "203-775-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERROW RD",
            "address_2": "UNIT 2",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843416",
            "telephone_number": "860-872-8357",
            "fax_number": "860-872-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUZZO",
        "first_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004203577",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V8093",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "080006545CT",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BUSSIERE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tolland, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.