Individual provider Active NPI

Michael Buisson

  • Physical Therapist
  • Crested Butte, CO
National Provider Identifier
1710755285
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
426 Belleview Ave Ste 101
Crested Butte, CO 81224-5431
Phone
(970) 349-2817
NPI assigned
Dec 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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 Primary

Addresses

Primary practice location

426 Belleview Ave Ste 101
Crested Butte, CO 81224-5431

Mailing address

PO Box 1014
Crested Butte, CO 81224-1014
Phone (970) 349-2817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, OK, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240711004236 OR Practitioner - Physical Therapist in Private Practice 1456797091 Reassigns benefits to 1 organization
I20241101001719 OK Practitioner - Physical Therapist in Private Practice 1456797091 Reassigns benefits to 1 organization
I20250313002778 CO Practitioner - Physical Therapist in Private Practice 1456797091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Crested Butte Physiotherapy PCGroup PAC ID 8426351933, 3 clinicians

Practice addresses (Care Compare)

426 Belleview Ave
Suite 101
Crested Butte, CO 81224-5431
Phone (970) 349-2817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Proactive LLC Physical Therapist CurrentSince May 26, 2024 Accepting new patients
Crested Butte Physiotherapy, PC Physical Therapist CurrentSince Mar 20, 2025 Accepting new patients
Redbud Physical Therapy LLC Physical Therapist CurrentSince Oct 16, 2024 Accepting new patients
Redbud Physical Therapy LLC CurrentSince Oct 16, 2024 Accepting new patients
Redbud Physical Rehabilitation PC Physical Therapist Past Accepting new patients
Omnis Omnia Inc. PastSince Feb 4, 2015 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

1118 S Main St
Grove, OK 74344
Phone (918) 786-9883

1630 Beavercreek Rd
Ste A
Oregon City, OR 97045
Phone (503) 607-0047

450 NW Greenwood Ave
Redmond, OR 97756
Phone (541) 923-0410

19767 SW 72nd Ave
Ste 105
Tualatin, OR 97062
Phone (503) 454-0526

Organizations & group practices 6

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": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1710755285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812241014",
            "telephone_number": "970-349-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 BELLEVIEW AVE STE 101",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812245431",
            "telephone_number": "970-349-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUISSON",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-14",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crested Butte, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.