IndividualActive
Adam Brissenden, PT, DPT, CERT. DN
NPI 1104219054 · Physical Therapist · Wakefield, RI
Provider details
- NPI number
- 1104219054
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, CERT. DN
- Sex
- Male
- Sole proprietor
- No
- License
- 0013158 (CO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
163 Main St
Wakefield, RI 02879-3504
Phone: (401) 782-4049
Fax: (401) 782-0890
Approximate (ZIP-level) locationGet directions
Mailing address
1307 E Prospect Rd
Fort Collins, CO 80525-1187
Registry dates
- Enumerated
- 2015-03-16
- Last updated
- 2021-07-23
- Certified
- 2021-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.