BACK TO WELLNESS PLC (NPI# 1912211210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912211210 |
| Entity Type | Organization |
| Organization Name | BACK TO WELLNESS PLC |
| Practice Address |
368 Dorset St Ste 3 South Burlington VT 05403-6236 |
| Practice Telephone | 8028644959 |
| Practice Fax Number | 8028644959 |
| Mailing Telephone | 8028644959 |
| Mailing Fax Number | 8028644959 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2011-09-21 |
| Authorized Official Name | DR. HEATHER LYNN DIEDERICH (OWNER) |
| Authorized Official Telephone | 8024346669 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 006-0000998 | VT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | VN1626 | 05 |
| Street Address |
368 DORSET ST STE 3 |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-6236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938975 | Josee-ann Guay | Student in an Organized Health Care Education/Training Program | 1060 Hinesburg Road Suite 201, South Burlington, VT 05403 | 2019-05-22 |
| 1821556390 | Alexander Taite Carpenter | Specialist/Technologist | 2069 Williston Road Ap #2, South Burlington, VT 05403 | 2019-03-04 |
| 1144732785 | Molly Koch Parker | Dietitian, Registered | 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 | 2017-11-03 |
| 1497273007 | Marlena Anya Pecora | Acupuncturist | 368 Dorset St # 3, South Burlington, VT 05403 | 2017-09-03 |
| 1467908525 | Rinaben P Patel | Pharmacist | 39 Hinesburd Road, South Burlington, VT 05403 | 2016-08-29 |
| 1770949950 | Tara Flor | Chiropractor | 30 Farrell St Ste 100, South Burlington, VT 05403 | 2016-01-04 |
| 1356716187 | Frank Breen | Counselor | 163 Hinesburg Road, South Burlington, VT 05403 | 2015-12-04 |
| 1063808210 | Lisa C Harrington | Registered Nurse | Stone House Associates, 27 Rye Circle, South Burlington, VT 05403 | 2015-04-14 |
| 1083018626 | Jessica Jablonski | Speech-Language Pathologist | 2 Baldwin Ave, South Burlington, VT 05403 | 2014-10-10 |
| 1538590567 | Vasta Physical Therapy, Inc | Physical Therapist | 340 Dorset Street, Suite 2, South Burlington, VT 05403 | 2013-12-02 |
| Find all providers in zip 05403 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689964736 | American Current Care Pa | Clinic/Center | 57 Fayette Road, Ste 4, South Burlington, VT 05403-6964 | 2011-04-11 |
| 1376833442 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 7 Fayette Drive, Unit 1, South Burlington, VT 05403 | 2011-04-11 |
| 1306964499 | Get Well Inc | Clinic/Center | 3000 Williston Rd, South Burlington, VT 05403-6082 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780185991 | Cigna Onsite Health LLC | Clinic/Center | 1 National Life Dr, Montpelier, VT 05604-1000 | 2018-02-22 |
| 1093115651 | Christie Brown | Clinic/Center | 238 Woods Farm Rd, Newport, VT 05855-8930 | 2014-09-01 |
| 1932363041 | Oral and Facial Surgery Associates,plc | Clinic/Center | 2 Harwood Dr, Bennington, VT 05201-2323 | 2008-07-17 |
| 1346279296 | Vermont Neurosurgical Associates | Clinic/Center | 231 Mussey St, Rutland, VT 05701-4843 | 2006-07-02 |
| 1104884824 | Affiliates In Obstetrical & Gynecological Care Inc | Clinic/Center | 96 Colchester Ave, Burlington, VT 05401-1417 | 2006-05-02 |
| 1225658271 | Dorset Physio Physical Therapy Plc | Clinic/Center | 3057 Route 30, Dorset, VT 05251 | 2020-04-20 |
| 1902458896 | Tamarack Family Medicine | Clinic/Center | 109 Professional Dr, Morrisville, VT 05661-8524 | 2019-07-11 |
| 1215478060 | Upper Valley Holistic Health LLC | Clinic/Center | 160 Palmer Ct, Ste. 3a, White River Junction, VT 05001-9061 | 2017-03-13 |
| 1053856278 | Sage Naturopathic Health LLC | Clinic/Center | 301 River St, Suite 201, Montpelier, VT 05602-4303 | 2016-12-24 |
| 1215398730 | Whetstone Counseling, LLC | Clinic/Center | 14 Park Pl, 2nd Floor, Brattleboro, VT 05301-2821 | 2016-03-10 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
Please comment or provide details below to improve the information on BACK TO WELLNESS PLC.
| 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.