PEDIATRIC PHYSICAL THERAPY SERVICES PC (NPI# 1750580858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750580858 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC PHYSICAL THERAPY SERVICES PC |
| Practice Address |
40 High St Middlebury VT 05753-1209 |
| Practice Telephone | 8023881153 |
| Practice Fax Number | 8023881153 |
| Mailing Telephone | 8023881153 |
| Mailing Fax Number | 8023881153 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |
| Authorized Official Name | KIM PERKINS KELLEY (PRESIDENT) |
| Authorized Official Telephone | 8023881153 |
| Authorized Official Credential | PT, MED. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
040-0002043 | VT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | BLUE CROSS BLUE SHIELD OF | 19824 | 01 |
| Street Address |
40 HIGH ST |
| City | MIDDLEBURY |
| State | VT |
| Zip Code | 05753-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083048649 | Caroline Crofton Stifler | Physical Therapist | 40 High St, Middlebury, VT 05753-1209 | 2013-08-30 |
| 1790031987 | Kristine Joppe-mercure | Physical Therapist | 40 High St, Middlebury, VT 05753-1209 | 2012-07-25 |
| 1336330299 | Peggy Owen Sands | Physical Therapist | 40 High St, Middlebury, VT 05753-1209 | 2007-08-06 |
| 1477752574 | Kim Perkins Kelley | Physical Therapist | 40 High St, Middlebury, VT 05753-1209 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760997233 | Julia M. Pipiras | Massage Therapist | 99 Maple St., Marble Works, Middlebury, VT 05753 | 2017-12-06 |
| 1487017117 | Hope W Martin | Counselor | 135 South Pleasant St., Middlebury, VT 05753 | 2016-03-31 |
| 1487052593 | Ania Mortier | Nurse Practitioner | 102 A Court St, Middlebury, VT 05753 | 2014-12-06 |
| 1427471655 | Nancy Spears | Counselor | 7 Seymour St Ste 4, Middlebury, VT 05753 | 2014-01-23 |
| 1679862676 | Daly Dental | Dentist | 152 Maple Street, Suite 201, Middlebury, VT 05753 | 2011-03-31 |
| 1033432695 | James G Daly D.d.s. | Dentist | 152 Maple St., Ste. 201, Middlebury, VT 05753 | 2010-03-10 |
| 1497986855 | Maxine Elizabeth Fidler | Acupuncturist | 31 Court Street, Middlebury, VT 05753 | 2009-08-04 |
| 1629289426 | Gary Francis Margolis | Psychologist | 302 Centeno House Route 30, Middlebury, VT 05753 | 2007-05-24 |
| 1578697884 | Elise Marie Mcclintock | Nurse Practitioner | 5110 Middlebury College, Middlebury, VT 05753 | 2007-03-16 |
| 1982735890 | Adam Brightman | Social Worker | 1740 Delong Road, Cornwall, VT 05753 | 2007-03-09 |
| Find all providers in zip 05753 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083048649 | Caroline Crofton Stifler | Physical Therapist | 40 High St, Middlebury, VT 05753-1209 | 2013-08-30 |
| 1336330299 | Peggy Owen Sands | Physical Therapist | 40 High St, Middlebury, VT 05753-1209 | 2007-08-06 |
| 1477752574 | Kim Perkins Kelley | Physical Therapist | 40 High St, Middlebury, VT 05753-1209 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518370352 | Paul A. Woodruff | Physical Therapist | 81 Wolcott St, Colchester, VT 05446-6250 | 2014-06-10 |
| 1154650612 | Amy Buzzell Mullins | Physical Therapist | 90 Oak Ridge Est, Morrisville, VT 05661-4467 | 2009-12-12 |
| 1255669560 | Jeannette T Hogan | Physical Therapist | 324 Gonyeau Rd, Plainfield, VT 05667-9669 | 2009-11-24 |
| 1861541997 | Jean Waldron | Physical Therapist | 2607 Clay Hl, Johnson, VT 05656-9691 | 2007-01-09 |
| 1619037470 | Deanna B Perreault | Physical Therapist | Intersection Rts 4 and 12, Taftsville, VT 05073 | 2006-12-11 |
| 1760494629 | Christina Hr Allard | Physical Therapist | 34 Dewey Rd, Fairfax, VT 05454-9612 | 2006-08-12 |
| 1689838724 | Meghan Sue Smith | Physical Therapist | 905 Roosevelt Hwy, Colchester, VT 05446-4475 | 2008-07-17 |
| 1801078985 | Karen Chandler Wallace | Physical Therapist | 10 Grove Street, Saxtons River, VT 05154-0174 | 2007-11-30 |
| 1255548376 | Tamra Noel Yandow | Physical Therapist | 1110 Prim Rd, Colchester, VT 05446-6403 | 2007-05-17 |
| 1316087497 | Marianne E Wildgust | Physical Therapist | 88 Park St, Rutland, VT 05701-4710 | 2007-02-07 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURY |
| Zip Code | 05753 |
Please comment or provide details below to improve the information on PEDIATRIC PHYSICAL THERAPY SERVICES 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.