Jasen E Brisson, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P10717 Issued in NC

Practice address

843 Durham Rd Ste 110
Wake Forest, NC 27587-8793

Phone

(919) 570-7080

Fax

(919) 570-7081

NPI assigned

Feb 1, 2011

Sex

Male

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

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wake Forest Physical TherapyGroup PAC ID 6507818788, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wake Forest Physical Therapy

  • Physical Therapist
  • Wake Forest, NC
  • NPI 1316996317
  Medicare reassignment Care Compare group NPD Authorized official
• Activcare Physical Therapy, LLC

  • Clinic/Center
  • Raleigh, NC
  • NPI 1548409626

  Physical Therapist

  Medicare reassignment NPD
• Aquatic Physical Therapy & Beyond, LLC

  • Physical Therapist
  • Raleigh, NC
  • NPI 1861462558
  NPD (past)

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1750687240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 DURHAM RD STE 110",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878793",
            "telephone_number": "919-570-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 DURHAM RD STE 110",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878793",
            "telephone_number": "919-570-7080",
            "fax_number": "919-570-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISSON",
        "first_name": "JASEN",
        "middle_name": "E",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-01",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P10717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC PHYSICAL THERAPY LICENSE",
            "identifier": "10717",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Brichford, PT
• Bridges and Beyond
• Angela Karen Bridges, M.S.W., L.C.S.W
• Eugene Drew Bridges, M.D.
• Lauren Bridges, LCSW
• Elzia Rena Broussard, MD
• Channette Tamekia Brown
• Elizabeth Brown, OTR/L
• Jennifer L Brown, MS, OTR/L
• Lauren Brown

• Physical Therapist in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.