NORTHEAST KINGDOM PHYSICAL THERAPY PC (NPI# 1417175761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417175761 |
| Entity Type | Organization |
| Organization Name | NORTHEAST KINGDOM PHYSICAL THERAPY PC |
| Practice Address |
235 Lakemont Rd Newport VT 05855-9507 |
| Practice Telephone | 8023348558 |
| Practice Fax Number | 8023348559 |
| Mailing Telephone | 8023348558 |
| Mailing Fax Number | 8023348559 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2012-09-19 |
| Authorized Official Name | MR. WILLIAM L HOGAN (OWNER) |
| Authorized Official Telephone | 8023348558 |
| Authorized Official Credential | M.S.P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1009056 | 05 |
| Street Address |
235 LAKEMONT RD |
| City | NEWPORT |
| State | VT |
| Zip Code | 05855-9507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255676581 | Morgan Provost | Physical Therapist | 235 Lakemont Rd, Newport, VT 05855-9690 | 2012-11-27 |
| 1679868939 | Jillian Danielle Shiembob | Physical Therapist | 235 Lakemont Rd, Newport, VT 05855-9507 | 2011-06-15 |
| 1497969331 | Anthony J Tomaselli | Physical Therapist | 235 Lakemont Rd, Newport, VT 05855-9690 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170922 | Katrina Marie Prive | Nurse Practitioner | 799 Salem View Heights, Newport, VT 05855 | 2020-10-08 |
| 1265949903 | Jodeci Malixi | Dentist | 494 Highland Ave #1, Newport, VT 05855 | 2018-01-03 |
| 1568971984 | Roderic R Knights Jr. | Social Worker | 121 Duchess Ave Ste B, Newport, VT 05855 | 2017-09-28 |
| 1952753311 | Gabrielle Marcotte | Speech-Language Pathologist | 189 Prouty Dr, Newport, VT 05855 | 2016-07-11 |
| 1215385919 | Elizabeth Torres | Behavioral Analyst | 4088 Hinman Settler Rd, Newport, VT 05855 | 2016-06-03 |
| 1598147175 | Emmi Rena Chapdelaine | Massage Therapist | 419b Route 105, Newport, VT 05855 | 2015-06-19 |
| 1164721783 | Elaine Marie Nicol-cashin | Pharmacist | 59 Waterfront Plaza, Newport, VT 05855 | 2011-03-22 |
| 1053589374 | Francis L Pinard Od PC | Optometrist | 124 East Main Street, Suite #1, Newport, VT 05855 | 2008-02-20 |
| 1073717112 | Freedom Physical Therapy, P.c | Physical Therapist | 419a Vt Rt 105, Suite B, Newport, VT 05855 | 2007-06-13 |
| 1902027402 | Nancy Lynn Stevenson-lyon | Specialist/Technologist | 209 Veterans Ave., Newport, VT 05855 | 2007-05-01 |
| Find all providers in zip 05855 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992827042 | Newport Advanced Physical Therapy, Inc. | Clinic/Center | 2105 Malcolm Ave Ste 121, Newport, AR 72112-3691 | 2007-04-06 |
| 1750393385 | Central Coast Physical Therapy Inc | Clinic/Center | 135 Nw 3rd St, Newport, OR 97365-3640 | 2006-08-12 |
| 1992779391 | Universal Physical Therapy, LLC | Clinic/Center | 360 Sunapee St, Unit One, Newport, NH 03773-5412 | 2006-02-14 |
| 1124170113 | Pro Therapy Services of East Tennessee | Clinic/Center | 407 4th St, Newport, TN 37821-3755 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158642 | Beyond Physical Therapy Pllc | Clinic/Center | 18 Swanton Rd, Saint Albans, VT 05478-1559 | 2020-09-13 |
| 1366063943 | Talk of The Town, LLC | Clinic/Center | 149 Hildred Dr, Burlington, VT 05401-3692 | 2020-05-05 |
| 1457990145 | Solutions Physical Therapy, Pllc | Clinic/Center | 4 Weathersfield Bow, Essex Jct, VT 05452-2645 | 2019-12-30 |
| 1093222028 | Burlington Pt | Clinic/Center | 39 Birchcliff Pkwy, Burlington, VT 05401-4901 | 2017-12-28 |
| 1932565611 | Springfield Hospital Inc | Clinic/Center | 38 Vt Route 11, Londonderry, VT 05148-9555 | 2016-01-11 |
| 1932571221 | Catalyst Physiotherapy LLC | Clinic/Center | 145 Peavine Dr, Rochester, VT 05767-9669 | 2015-10-26 |
| 1841699204 | Synergy In Motion, LLC | Clinic/Center | 28 North Street, Suite C, Bristol, VT 05443-1047 | 2014-08-21 |
| 1700123478 | Hemond Physical Therapy LLC | Clinic/Center | 2926 Kirby Mountain Rd, Concord, VT 05824-9424 | 2013-01-14 |
| 1922334051 | Essential Physical Therapy & Pilates, LLC | Clinic/Center | 81 River St Ste 201, Montpelier, VT 05602-3750 | 2009-10-24 |
| 1144340761 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 654 Granger Rd., Suite 1, Barre, VT 05641 | 2007-03-29 |
| Find all providers with the same taxonomy | ||||
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| 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.