MEDICARE: DR. RYAN BESSETTE PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251S0007X	Sports Physical Therapist	27880	MA

General Provider Information

NPI Number	:	1720878853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN BESSETTE PT, DPT

Provider Business Mailing Address
First Line	:	82 WENDELL AVE STE 100
Second Line	:
City	:	PITTSFIELD
State	:	MA
Zip	:	01201-7066
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 CAMBRIDGE ST
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-2538
Country	:	US
Telephone Number	:	978-886-5229
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2025
Last Update Date	:	05/12/2025

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Directions to “ DR. RYAN BESSETTE PT, DPT” Practice Location

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