PHYSICAL THERAPY SERVICES OF BRATTLEBORO INC (NPI# 1649260878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649260878 |
| Entity Type | Organization |
| Organization Name | PHYSICAL THERAPY SERVICES OF BRATTLEBORO INC |
| Practice Address |
30 Harris Place Brattleboro VT 05301 |
| Practice Telephone | 8022544699 |
| Practice Fax Number | 8022571985 |
| Mailing Telephone | (802) 254-4699 |
| Mailing Fax Number | 8022571985 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2017-07-17 |
| Authorized Official Name | LORI G HUGHES (OFFICE MANAGER) |
| Authorized Official Telephone | 8022544699 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | PRIVATE INSURANCE (BCBS) | 48740 | 01 |
| VT | OVN2126 | 05 | |
| PRIVATE INSURANCE (MVP) | 200055371 | 01 | |
| NH | PRIVATE INSURANCE (BCBS) | 50Y305600VT01 | 01 |
| PRIVATE INSURANCE (CIGNA) | 7001366-001 | 01 |
| Street Address |
30 HARRIS PLACE |
| City | BRATTLEBORO |
| State | VT |
| Zip Code | 05301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575372 | Roberta M. White | Psychologist | 72 Whetstone Rd, Brattleboro, VT 05301 | 2019-06-03 |
| 1225526940 | Audrey Johnston | Nurse Practitioner | Brattleboro Family Medicine, 53 Fairview Street, Brattleboro, VT 05301 | 2018-04-27 |
| 1811349582 | Jillian Barney | Physician Assistant | 17 Belmont Ave Richards Building (1st Floor), Barttleboro, VT 05301 | 2016-07-06 |
| 1326413899 | Gabriella Neacsu Katz | Nurse Practitioner | 1860 Weatherhead Hollow Rd, Guilford, VT 05301 | 2015-12-09 |
| 1942608914 | Kathryn Peterson | Registered Nurse | 105 Winter St Apt 2, Brattleboro, VT 05301 | 2014-12-08 |
| 1558762823 | Saryn T Lauzon | Registered Nurse | 2 Maplewood Drive, Brattleboro, VT 05301 | 2014-09-05 |
| 1912248691 | Robert Joseph Stack | Counselor | 1 Linden Street, Brattleboro, VT 05301 | 2013-03-06 |
| 1053651760 | Christopher M. Deszynski | Naturopath | 73 Main St Ste 4, Brattleboro, VT 05301 | 2013-02-18 |
| 1518236355 | Christine Hamrin | Licensed Practical Nurse | 54 Spruce Street, Brattleboro, VT 05301 | 2011-12-23 |
| 1881924934 | Margrit C. Mikulis | Naturopath | 147 Orchard St, Brattleboro, VT 05301 | 2010-01-12 |
| Find all providers in zip 05301 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104129915 | Kristin Sheperd | Rehabilitation Practitioner | 12 Fairfield Hill Rd, Saint Albans, VT 05478-9634 | 2010-12-16 |
| City | BRATTLEBORO |
| Zip Code | 05301 |
Please comment or provide details below to improve the information on PHYSICAL THERAPY SERVICES OF BRATTLEBORO INC.
| 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.