Theresa Brassard, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7179 Issued in MA

Practice address

300 Longwood Ave
Boston, MA 02115-5724

Phone

(978) 355-7212

NPI assigned

Mar 2, 2016

Sex

Female

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

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Physical Therapy and Wellness LLCGroup PAC ID 7517238538, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Complete Physical Therapy & Wellness, LLC

  • Physical Therapist
  • Fitchburg, MA
  • NPI 1184168197
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1982064150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 AVON ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014534638",
            "telephone_number": "978-549-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "978-355-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASSARD",
        "first_name": "THERESA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "7179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharnelle Branyon, LADC
• Kristen Brao
• Branden Brar, DDS
• Simarjeet S Brar, MD
• Tanvi Brar
• Priscilla Kaliopi Brastianos, M.D.
• Tylah Brathwaite
• Valerie Brathwaite, MSW, LICSW
• Amanda Bratt
• Ariana Bratt, M.D.

• Physical Therapist in Boston, MA
• Providers in Boston, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.