Phoenix Physical Therapy Pllc
LBN: Phoenix Physical Therapy Pllc
Phoenix Physical Therapy Pllc is an health care organization with primary practice located at 1775 Williston Rd Suite 104, South Burlington VT 05403-6491. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Suppliers / Durable Medical Equipment & Medical Supplies. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Phoenix Physical Therapy Pllc can be contacted via phone (802) 863-6662, or through Kaufman, Jane Susan via phone (802) 863-6662.
Contact Information
Primary practice address
1775 Williston Rd Suite 104
South Burlington VT 05403-6491
Phone: (802) 863-6662
Fax: (802) 861-2224
Website:
Authorized official contact:
Name: Kaufman, Jane Susan Physical Therapist (PT)
Phone: (802) 863-6662
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 040.0000866 | Vermont |
Profile Details
| NPI number | 1518909100 |
|---|---|
| LBN Legal business name | Phoenix Physical Therapy Pllc |
| DBA Doing business as | |
| Authorized official | Kaufman, Jane Susan Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | May 22nd, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518909100 | NPPES |
| Vermont | MEDICAID | OVN2575 | |
| Vermont | Other | 68094 |
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