Individual provider Active NPI

Cristen Aileen Bussiere, PT

  • Physical Therapist
  • Holden, MA
National Provider Identifier
1790119006
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8278 Issued in MA
Practice address
32 Mayo Dr
Holden, MA 01520-1512
Phone
(508) 829-1196
Fax
(508) 829-1235
NPI assigned
Aug 23, 2013
Last updated
Aug 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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 8278 MA Primary

Addresses

Primary practice location

32 Mayo Dr
Holden, MA 01520-1512

Mailing address

32 Mayo Dr
Holden, MA 01520-1512
Phone (508) 829-1196

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1790119006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MAYO DR",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201512",
            "telephone_number": "508-829-1196",
            "fax_number": "508-829-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MAYO DR",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201512",
            "telephone_number": "508-829-1196",
            "fax_number": "508-829-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSIERE",
        "first_name": "CRISTEN",
        "middle_name": "AILEEN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.