Briana Boulerice, DPT
Physical Therapist in Waterbury, CT. Individual provider (NPI-1).
NPI number1184352007
StatusActive
Last updated in NPPESAug 9, 2022
Details
- NPI
- 1184352007
- Entity type
- Individual (NPI-1)
- Name
- Briana Boulerice
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2022
- Certification date
- Aug 9, 2022
- Last updated
- Aug 9, 2022
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 | 13675 | CT | Yes |
Practice location
1211 W Main StWaterbury, CT 06708-3106
Phone 203-753-6043
Mailing address
47 N Main StWest Hartford, CT 06107-1926
Phone 860-409-4595
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All 126 Physical Therapist providers in Waterbury · All 3,781 providers in Waterbury
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