Shanan T Brissette, PT
Physical Therapist in East Providence, RI. Individual provider (NPI-1).
NPI number1093925331
StatusActive
Last updated in NPPESJan 6, 2011
Details
- NPI
- 1093925331
- Entity type
- Individual (NPI-1)
- Name
- Shanan T Brissette
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2007
- Last updated
- Jan 6, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 17749 | MA | Yes |
| 225100000X | Physical Therapist | PT02244 | RI |
Practice location
927 Warren AveEast Providence, RI 02914-1423
Phone 401-438-0905 · Fax 401-383-7946
Mailing address
927b Warren AveEast Providence, RI 02914
Phone 401-438-0905 · Fax 401-383-7946
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 64 Physical Therapist providers in East Providence · All 972 providers in East Providence
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