Brianna Groleau, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4885 Issued in NH

Practice address

790 Lake St
Bristol, NH 03222-4548

Phone

(603) 744-0275

NPI assigned

Sep 23, 2021

Sex

Female

Sole proprietor

No

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)

Enrolled

Practice roles

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.

• Integrated Physical Therapy & Wellness, LLC

  • Physical Therapy Clinic/Center
  • Concord, NH
  • NPI 1861249054
  NPD Authorized official

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1831860469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 CONSTITUTION DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106096",
            "telephone_number": "603-488-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 LAKE ST",
            "city": "BRISTOL",
            "state": "NH",
            "postal_code": "032224548",
            "telephone_number": "603-744-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROLEAU",
        "first_name": "BRIANNA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Wilfred Dumond, LCMHC, CCMHC, DIPCFC
• Tina Easley, PHARMD
• Debra Lea England Stevens, APRN
• Tiffany Gagnon
• Li Gaudet
• Kelsey Guarino
• Mary Pauline Hand, DMD
• Johnelms LLC
• Laurie J Jorgenson, MD
• Jennifer Kastick, LICSW

• Physical Therapist in Bristol, NH
• Providers in Bristol, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.