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
Fax: (802) 861-2224
Website:
Authorized official contact:
Name: Kaufman, Jane Susan Physical Therapist (PT)

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518909100 NPPES
Vermont MEDICAID OVN2575
Vermont Other 68094

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