NORTHERN PHYSICAL THERAPY PC (NPI# 1164509980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164509980 |
| Entity Type | Organization |
| Organization Name | NORTHERN PHYSICAL THERAPY PC |
| Practice Address |
569 Main St Lyndonville VT 05851 |
| Mailing Address |
Po Box 1346 Lyndonville VT 05851-1346 |
| Practice Telephone | 8026264224 |
| Practice Fax Number | 8026265042 |
| Mailing Telephone | 8026264224 |
| Mailing Fax Number | 8026265042 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-04-20 |
| Authorized Official Name | AMANDA PALMER (VP OF ADMIN) |
| Authorized Official Telephone | 8026264224 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1010588 | 05 | |
| VT | BCBS | NORN68057 | 01 |
| CCN | 2222648 | 01 |
| Street Address |
569 MAIN ST |
| City | LYNDONVILLE |
| State | VT |
| Zip Code | 05851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912347 | Mykala Rae Wiswell | Physical Therapist | 569 Main St, Lyndonville, VT 05851-9240 | 2020-08-11 |
| 1821565631 | Northeastern Vermont Regional Hospital Inc | Physical Therapist | 569 Main St, Lyndonville, VT 05851-9240 | 2018-10-30 |
| 1669962288 | Krista Boulanger | Physical Therapist | 569 Main St, Lyndonville, VT 05851-9240 | 2018-05-18 |
| 1174743496 | Karey Leigh Pierce | Physical Therapist | 569 Main St, Lyndonville, VT 05851-9240 | 2007-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877726 | Courtney Marie Daffinrud | Behavioral Analyst | 878 Ridge Road, Kirby, VT 05851 | 2017-01-09 |
| 1467881342 | Michelle Laferriere | Speech-Language Pathologist | 97 Rte 5, Lyndonville, VT 05851 | 2013-11-01 |
| 1114228780 | Kathleen Knights | Naturopath | 277 Main Street, Lyndonville, VT 05851 | 2010-11-12 |
| 1225344963 | Lisa Avery | Physical Therapist | 31 Middle St., Northern Physical Therapy, PC, Lyndonville, VT 05851 | 2010-08-19 |
| 1679706360 | Evita E. Sandoval | Specialist/Technologist | 569 Main Street, Lyndonville, VT 05851 | 2009-08-27 |
| 1356595599 | Horace Oliver Reider | General Practice | 47 Park Ave., Lyndonville, VT 05851 | 2008-11-14 |
| 1780836023 | Alfred J Tomaselli | Counselor | 142 Cornerstone Lane, Lyndonville, VT 05851 | 2008-10-17 |
| 1760601256 | Vermont State Colleges | Family Medicine | Lyndon State College, 1001 College Road, Lyndonville, VT 05851 | 2007-04-24 |
| 1881763779 | Ellen Cf Moore | Counselor | 18 Tulip Street, Lyndonville, VT 05851 | 2006-11-07 |
| 1730197831 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 602 Main Street, Lyndonville, VT 05851 | 2006-08-04 |
| Find all providers in zip 05851 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158642 | Beyond Physical Therapy Pllc | Clinic/Center | 18 Swanton Rd, Saint Albans, VT 05478-1559 | 2020-09-13 |
| 1366063943 | Talk of The Town, LLC | Clinic/Center | 149 Hildred Dr, Burlington, VT 05401-3692 | 2020-05-05 |
| 1457990145 | Solutions Physical Therapy, Pllc | Clinic/Center | 4 Weathersfield Bow, Essex Jct, VT 05452-2645 | 2019-12-30 |
| 1093222028 | Burlington Pt | Clinic/Center | 39 Birchcliff Pkwy, Burlington, VT 05401-4901 | 2017-12-28 |
| 1932565611 | Springfield Hospital Inc | Clinic/Center | 38 Vt Route 11, Londonderry, VT 05148-9555 | 2016-01-11 |
| 1932571221 | Catalyst Physiotherapy LLC | Clinic/Center | 145 Peavine Dr, Rochester, VT 05767-9669 | 2015-10-26 |
| 1841699204 | Synergy In Motion, LLC | Clinic/Center | 28 North Street, Suite C, Bristol, VT 05443-1047 | 2014-08-21 |
| 1700123478 | Hemond Physical Therapy LLC | Clinic/Center | 2926 Kirby Mountain Rd, Concord, VT 05824-9424 | 2013-01-14 |
| 1922334051 | Essential Physical Therapy & Pilates, LLC | Clinic/Center | 81 River St Ste 201, Montpelier, VT 05602-3750 | 2009-10-24 |
| 1417175761 | Northeast Kingdom Physical Therapy PC | Clinic/Center | 235 Lakemont Rd, Newport, VT 05855-9507 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
| City | LYNDONVILLE |
| Zip Code | 05851 |
Please comment or provide details below to improve the information on NORTHERN PHYSICAL THERAPY PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.