MICHAEL L LANDSBERG (NPI# 1902891708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902891708 |
| Entity Type | Individual |
| Full Name | MICHAEL L LANDSBERG |
| Credential | ATC |
| Practice Address |
30 Hawthorne St Williston VT 05495-8212 |
| Mailing Address |
70 Brickyard Rd Essex Junction VT 05452-4346 |
| Practice Telephone | 8028610111 |
| Practice Fax Number | 8028612812 |
| Mailing Telephone | 8028720027 |
| Mailing Fax Number | 8028612812 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2009-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
104-0000019 | VT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
30 HAWTHORNE ST |
| City | WILLISTON |
| State | VT |
| Zip Code | 05495-8212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902215056 | Kyle Mcgregor | Physical Therapist | 30 Hawthorne St, Williston, VT 05495-8212 | 2014-08-02 |
| 1316356462 | Michele Mannino | Physical Therapist | 30 Hawthorne St, Williston, VT 05495-8212 | 2014-08-02 |
| 1285058859 | Jacqueline Jancaitis | Physical Therapist | 30 Hawthorne St, Suite 20, Williston, VT 05495-8212 | 2014-02-18 |
| 1639591373 | Caitlin Thornton | Specialist/Technologist | 30 Hawthorne St, Williston, VT 05495-8212 | 2014-01-15 |
| 1205175379 | Sara St. Gelais | Physical Therapist | 30 Hawthorne St, Williston, VT 05495-8212 | 2013-02-08 |
| 1811241789 | Chelsea Rene Cary | Physical Therapist | 30 Hawthorne St, Suite 20, Williston, VT 05495-8212 | 2012-10-31 |
| 1073860292 | Paula Larose | Physical Therapist | 30 Hawthorne St, Williston, VT 05495-8212 | 2012-08-07 |
| 1871884353 | Laura Elizabeth Fregeau | Occupational Therapist | 30 Hawthorne St, Suite 20, Williston, VT 05495-8212 | 2011-05-02 |
| 1447554126 | Ali Hamedani | Physical Therapist | 30 Hawthorne St, Suite 20, Williston, VT 05495-8212 | 2011-01-10 |
| 1205070687 | Luann Bellis | Physical Therapy Assistant | 30 Hawthorne St, Maple Tree Place, Williston, VT 05495-8212 | 2009-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271977 | Rachel D. Oblak | Counselor | 8031 Williston Rd. Suite 2, Williston, VT 05495 | 2020-09-29 |
| 1164986386 | Caitlin Taylor Henck | Behavioral Analyst | 37 Talcott Road, Williston, VT 05495 | 2019-01-23 |
| 1497273585 | Williston Health Supplies | Durable Medical Equipment & Medical Supplies | 34 Blair Park Road, Suite 104 #302, Williston, VT 05495 | 2017-09-08 |
| 1245755057 | Jennifer L Cadorette | Physical Therapist | 1193 S Brownell Rd Ste 20, Williston, VT 05495 | 2017-08-14 |
| 1538563317 | Pamela Guiduli Nash | Psychologist | 277 Blair Park, Suite 210, Williston, VT 05495 | 2014-10-22 |
| 1205277118 | Daniel J Cho | Dentist | 62 Merchants Row, Williston, VT 05495 | 2013-07-09 |
| 1134473218 | Vermont Technical College Department of Denta | Dentist | 301 Lawrence Place, Williston, VT 05495 | 2012-10-29 |
| 1689923864 | Megan Marie Quiet | Specialist/Technologist | 115 Wellness Drive, Williston, VT 05495 | 2012-09-05 |
| 1285981365 | Allison Marie Bogan | Chiropractor | 300 Cornerstone Dr. Ste 215, Williston, VT 05495 | 2012-08-08 |
| 1114229937 | Bayada Home Health Care, Inc. | Registered Nurse | 600 Blair Park Rd Ste 300, Williston, VT 05495 | 2010-11-30 |
| Find all providers in zip 05495 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023558434 | Derek Anderson | Specialist/Technologist | 1227 E Hillcourt, Williston, ND 58801-4454 | 2017-03-03 |
| 1689923864 | Megan Marie Quiet | Specialist/Technologist | 115 Wellness Drive, Williston, VT 05495 | 2012-09-05 |
| 1972868123 | Tasha Michelle Bowman | Specialist/Technologist | 82 Baxter St, Williston, SC 29853-2008 | 2012-07-12 |
| 1750421772 | The Rehabgym Inc | Specialist/Technologist | 373 Blair Park Rd Unit 100, Williston, VT 05495-8077 | 2007-02-07 |
| 1366903288 | Shannon Bouvier | Specialist/Technologist | 115 Wellness Dr, Williston, VT 05495-2088 | 2019-03-26 |
| 1801350566 | Spencer E Perreault | Specialist/Technologist | 115 Wellness Dr, Williston, VT 05495-2088 | 2019-01-28 |
| 1114435443 | Emily Higgins | Specialist/Technologist | 426 Industrial Ave, Williston, VT 05495-4448 | 2018-01-22 |
| 1659801207 | Emily Stege | Specialist/Technologist | 1502 13th Ave W, Ste 101, Williston, ND 58801 | 2017-06-15 |
| 1679980510 | Carrie Eder | Specialist/Technologist | 1410 University Ave, Williston, ND 58801-4464 | 2014-07-11 |
| 1053723882 | Cody James Parker | Specialist/Technologist | 426 Industrial Ave, Suite 190, Williston, VT 05495-4448 | 2014-05-28 |
| Find all providers in WILLISTON | ||||
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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.