DR. EVAN ROBERT LAZ FLYNN (NPI# 1679939581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679939581 |
| Entity Type | Individual |
| Full Name | DR. EVAN ROBERT LAZ FLYNN |
| Credential | P.T.,D.P.T. |
| Practice Address |
321 Main St Ste D Winooski VT 05404-1380 |
| Practice Telephone | 8028643785 |
| Practice Fax Number | 8028640274 |
| Mailing Telephone | 8028643785 |
| Mailing Fax Number | 8028640274 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2018-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 293084 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 040.0133981 | VT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 4587 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
321 MAIN ST STE D |
| City | WINOOSKI |
| State | VT |
| Zip Code | 05404-1380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457471237 | Eduardo Soliman Plantilla | Physical Therapist | 321 Main St Ste D, Winooski, VT 05404-1380 | 2007-03-29 |
| 1619320165 | Zachary Wilson | Physical Therapy Assistant | 321 Main St Ste D, Winooski, VT 05404-1380 | 2016-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578079166 | Andrea Reynolds | Counselor | 108 Dion St, Winooski, VT 05404 | 2017-12-19 |
| 1861555922 | Eva Simon | Counselor | 20 West Canal St, Woolen Mill Offices, Winooski, VT 05404 | 2006-12-19 |
| 1326109620 | Mary E Kegelman | Nurse Practitioner | Champlain Mill, 20 Winooski Falls Way, Suite 400, Winooski, VT 05404 | 2006-12-12 |
| 1164596730 | Anne Minor Knott | Family Medicine | 32b Malletts Bay Avenue, Winooski Family Health, Winooski, VT 05404 | 2006-11-17 |
| 1376596478 | Christine M. Staats | Family Medicine | 32 East Malletts Bay Ave., Winooski, VT 05404 | 2006-05-18 |
| 1700181856 | Ashley Rebecca Bercovici | Massage Therapist | 467 Main St, Winooski, VT 05404 | 2011-01-21 |
| 1861705766 | Kandi Poulin | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2010-07-20 |
| 1063583441 | Timberlane Physical Therapy Inc | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| 1437220811 | Lesli R Bell | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| 1114098449 | Candice S Brueck | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| Find all providers in zip 05404 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457471237 | Eduardo Soliman Plantilla | Physical Therapist | 321 Main St Ste D, Winooski, VT 05404-1380 | 2007-03-29 |
| 1780643122 | Deirdre M. Folsom | Physical Therapist | 32 Malletts Bay Ave, Winooski, VT 05404-1959 | 2006-03-23 |
| 1972099802 | Cathleen Rose Loughlin | Physical Therapist | 32 Malletts Bay Ave, Winooski, VT 05404-1959 | 2018-07-03 |
| 1083043301 | Stephen Gallagher | Physical Therapist | 321 Main St, Winooski, VT 05404-1380 | 2013-11-07 |
| 1225471345 | Erin Graham | Physical Therapist | 321 Main St, Suite D, Winooski, VT 05404-1380 | 2013-04-08 |
| 1225312085 | Erica Jean Wible | Physical Therapist | 321 Main St, Suite D, Winooski, VT 05401-1380 | 2011-09-28 |
| 1861705766 | Kandi Poulin | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2010-07-20 |
| 1801952353 | Amy Christine Miller | Physical Therapist | 32 Malletts Bay Ave, Aquatic Rehabilitation, Winooski, VT 05404-1959 | 2006-12-29 |
| 1063583441 | Timberlane Physical Therapy Inc | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| 1437220811 | Lesli R Bell | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| Find all providers in WINOOSKI | ||||
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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.