Devon Dusseault, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013350 Issued in CT

Practice address

14 Airport Park Rd
East Granby, CT 06026-9523

Phone

(860) 245-8914

Fax

(860) 957-2364

NPI assigned

Aug 23, 2021

Last updated

Mar 10, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MA, CT2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fortify Wellness and Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • East Granby, CT
  • NPI 1245088848

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Resilience Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Agawam, MA
  • NPI 1679123582

  CT

  Medicare reassignment
• Connecticut CVS Pharmacy LLC

  dba CVS Pharmacy 17918

  • Pharmacy
  • Guilford, CT
  • NPI 1417746108
  NPD (past)

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1861168437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 AIRPORT PARK RD",
            "city": "EAST GRANBY",
            "state": "CT",
            "postal_code": "060269523",
            "telephone_number": "860-245-8914",
            "fax_number": "860-957-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 AIRPORT PARK RD",
            "city": "EAST GRANBY",
            "state": "CT",
            "postal_code": "060269523",
            "telephone_number": "860-245-8914",
            "fax_number": "860-957-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSSEAULT",
        "first_name": "DEVON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "013350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannie M Crabtree, APRN
• Elizabeth Jean Davis
• Kimberly Diane Davis, DO
• Trinity Dejesus
• Steven R Dieterich, MD
• East Granby Ambulance Assn
• East Granby Board of Education
• East Granby Family Practice LLC
• Educational Advancement Associates
• Ellsworth Medical, LLC

• Physical Therapist in East Granby, CT
• Providers in East Granby, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.