MEDICARE: MR. JOSEPH REID BRIGLIA 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	225100000X	Physical Therapist	PT26382	FL

General Provider Information

NPI Number	:	1902192446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH REID BRIGLIA DPT

Provider Business Mailing Address
First Line	:	1625 SUMMIT LAKE SHORE RD NW
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-9437
Country	:	US
Telephone Number	:	609-707-7955
Fax Number	:

Provider Business Practice Location Address
First Line	:	65 GRAY RD UNIT 6
Second Line	:
City	:	FALMOUTH
State	:	ME
Zip	:	04105-2057
Country	:	US
Telephone Number	:	207-209-3541
Fax Number	:

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

Provider Enumeration Date	:	06/23/2011
Last Update Date	:	08/13/2024

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