MR. JEREMY VIGNEAULT (NPI# 1790885986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790885986 |
| Entity Type | Individual |
| Full Name | MR. JEREMY VIGNEAULT |
| Credential | PT |
| Practice Address |
843 Bolton Rd U-1249 Storrs CT 06269-1249 |
| Practice Telephone | 8604868080 |
| Practice Fax Number | 8604868081 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2015-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
007683 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
843 BOLTON RD U-1249 |
| City | STORRS |
| State | CT |
| Zip Code | 06269-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093133068 | Ciara Collins | Marriage & Family Therapist | 843 Bolton Rd, Unit 1117, Storrs, CT 06269-9020 | 2014-04-07 |
| 1265713887 | Susan Glenney | Physical Therapist | 843 Bolton Rd, U-1249, Storrs, CT 06269-1249 | 2011-09-09 |
| 1376831438 | Katherine Van Deveire | Physical Therapist | 843 Bolton Rd, Unit 1249, Storrs, CT 06269-1249 | 2011-07-11 |
| 1053614818 | Colleen Bonadies | Physical Therapist | 843 Bolton Rd, Storrs, CT 06269-1249 | 2010-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013422955 | Kathleen Martin | Specialist/Technologist | 505 Jim Calhoun Way, Storrs Mansfield, CT 06269 | 2017-12-13 |
| 1295254340 | Siobhan Ashley Gaston | Nurse Practitioner | 337 Mansfield Rd Unit 1255, Storrs, CT 06269 | 2017-09-10 |
| 1275058802 | Erika Lindsey Vuernick | Pharmacist | 69 N Eagleville Rd Unit 3092, Storrs, CT 06269 | 2017-08-04 |
| 1831722081 | Kirsty Coulter | Student in an Organized Health Care Education/Training Program | 406 Unit 1020 Babbidge Rd, Storrs, CT 06269-0001 | 2020-02-17 |
| 1275175465 | Rolando Rivera | Student in an Organized Health Care Education/Training Program | Storrs Connecticut, Storrs, CT 06269-0001 | 2019-10-09 |
| 1679050744 | Noelle Marie Delorme | Audiologist | U-1085 Bolton Road, Storrs, CT 06269-0001 | 2018-07-23 |
| 1487155248 | Andres Tomas Almeraya | Specialist/Technologist | 2110 Hillside Rd #1078r, Storrs, CT 06269-0001 | 2018-02-26 |
| 1184152795 | Hayley O'connell | Specialist/Technologist | Uconn, Storrs, CT 06269-0001 | 2017-05-25 |
| 1376691550 | Kristine Poet Ridyard | Nurse Practitioner | University of Ct Student Health Services, 234 Glenbrook Drive Unit 2011, Storrs Mansfield, CT 06269-0001 | 2007-01-06 |
| 1871524280 | Martha S Sternberg | Pediatrics | Uconn Student Health Services, 234 Glenbrook Road, Storrs Mansfield, CT 06269-0001 | 2006-07-05 |
| Find all providers in zip 06269 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053614818 | Colleen Bonadies | Physical Therapist | 843 Bolton Rd, Storrs, CT 06269-1249 | 2010-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837384 | Connecticut Back Center LLC | Physical Therapist | 460 Hartford Tpke Ste B, Vernon, CT 06066-4847 | 2020-10-01 |
| 1780290882 | Jacob Chwiedz | Physical Therapist | 179 Linwood Ave Unit A-4, Colchester, CT 06415-1160 | 2020-09-23 |
| 1578174488 | Michael G Giambrone | Physical Therapist | 19 Old Kings Hwy S, Darien, CT 06820-4533 | 2020-08-13 |
| 1841809373 | Connecticut Orthopaedic Specialists, PC | Physical Therapist | 3 Liesl Ln, Branford, CT 06405-3036 | 2020-07-30 |
| 1093227902 | Nicholas A Bessette | Physical Therapist | 140 Main St Ste 4b, Middletown, CT 06457-3437 | 2017-11-01 |
| 1588051510 | Physical Therapy Arts LLC | Physical Therapist | 96 Rt. 37, New Fairfield, CT 06812 | 2015-04-16 |
| 1578954459 | Shanya Stearns | Physical Therapist | 65a Albany Tpke, Canton, CT 06019-2507 | 2015-02-12 |
| 1497145536 | Tiffany Sudol | Physical Therapist | 1445 E Putnam Ave Ste 2, Old Greenwich, CT 06870-1377 | 2015-01-28 |
| 1093115404 | Core Balance Physical Therapy, LLC | Physical Therapist | 22 Knapp St, Suite 303, Stamford, CT 06907-1700 | 2014-09-04 |
| 1730440736 | Michael James Staropoli | Physical Therapist | 1555 Post Rd E, Westport, CT 06880-5671 | 2012-06-06 |
| 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.