Bret Daniel Boisclair

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502004370 Issued in MI

Practice address

2505 N Long Lake Rd
Fenton, MI 48430-8840

Phone

(810) 471-0180

NPI assigned

Jun 22, 2026

Last updated

Jun 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1770419491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 N LONG LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484308840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 N LONG LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484308840",
            "telephone_number": "810-471-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOISCLAIR",
        "first_name": "BRET",
        "middle_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502004370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Bigelow, DPT
• Laura Beth Blanchard, MT-BC
• Cathy Blondin
• Trish Ann Bloss, LCSW
• Cheryl Bochenek, LCSW
• Joseph Edward Booker II, PT, DPT
• Cory T Borawski, D.C. ( CHIROPRACTIC)
• Rebeccah May Border, NP-C
• Bormans Inc (Farmer Jack Pharmacy)
• Bormans Inc (Farmer Jack Pharmacy)

• Physical Therapy Assistant in Fenton, MI
• Providers in Fenton, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.