Lisa Michelle Guilbault, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007489 Issued in CT

Practice address

39 Kennedy Drive
Putnam, CT 06260

Phone

(860) 963-2133

NPI assigned

Oct 4, 2006

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

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anb-Ptsma Holdings IncGroup PAC ID 4789572926, 190 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.

• Anb-Ptsma Holdings, Inc.

  • Physical Therapist
  • West Hartford, CT
  • NPI 1659453371
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922194562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 ELVIRA HEIGHTS",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "06260",
            "telephone_number": "860-928-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 KENNEDY DRIVE",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "06260",
            "telephone_number": "860-963-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILBAULT",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott A Green, D.O.
• Denniell Grijalva
• Autumn Starr Grimshaw
• Anne Marie Grossi, APRN
• Holly J Gudeahn, LO
• Richard A Guilbault, CRNA
• Hemant Gupta, M.D.
• Dawn Gurn, LPC
• Gvo PLLC
• Traci L Gwiazdowski

• Physical Therapist in Putnam, CT
• Providers in Putnam, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.