Daniel Preston Ellis (NPI# 1063893881, PAC ID# 0042529166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1063893881 |
| PAC ID by PECOS | 0042529166 |
| Professional Enrollment ID | I20161215000672 |
| Full Name | Daniel Preston Ellis |
| Organization Legal Name | PHYSICAL THERAPY CENTER OF VERMONT LLC |
| Address |
115 Wellness Dr Williston VT 05495-2088 |
| Phone Number | 8028601358 |
| Gender | M |
| Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2163442138 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 115 Wellness Dr, Williston, VT 05495-2088 | 8028601358 | PHYSICAL THERAPY CENTER OF VERMONT LLC |
| Organization Legal Name | PHYSICAL THERAPY CENTER OF VERMONT LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Serena Magnan | Physical Therapy | Physical Therapy Center of Vermont LLC | 4 Morse Dr, Essex Junction, VT 05452-2811 |
| Stephanie Hruby | Physical Therapy | Physical Therapy Center of Vermont LLC | 142 W Twin Oaks Ter, South Burlington, VT 05403-7132 |
| Zafir G Bludevich | Physical Therapy | Physical Therapy Center of Vermont LLC | 115 Wellness Dr, Williston, VT 05495-2088 |
| Jamie Sheahan | Registered Dietitian Or Nutrition Professional | Physical Therapy Center of Vermont LLC | 142 W Twin Oaks Ter, South Burlington, VT 05403-7132 |
| Benjamin M Corcoran | Physical Therapy | Physical Therapy Center of Vermont LLC | 142 W Twin Oaks Ter, South Burlington, VT 05403-7132 |
| Nicole W Davignon | Physical Therapy | Physical Therapy Center of Vermont LLC | 115 Wellness Dr, Williston, VT 05495-2088 |
| Tori D Lamphere | Physical Therapy | Physical Therapy Center of Vermont LLC | 4 Morse Dr, Essex Junction, VT 05452-2811 |
| Jillian C O Womersley | Physical Therapy | Physical Therapy Center of Vermont LLC | 115 Wellness Dr, Williston, VT 05495-2088 |
| Tracy Benedict | Physical Therapy | Physical Therapy Center of Vermont LLC | 4 Morse Dr, Essex Junction, VT 05452-2811 |
| Melissa Grealis | Physical Therapy | Physical Therapy Center of Vermont LLC | 115 Wellness Dr, Williston, VT 05495-2088 |
| Street Address |
115 WELLNESS DR |
| City | WILLISTON |
| State | VT |
| Zip | 05495-2088 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zafir G Bludevich | Physical Therapy | Physical Therapy Center of Vermont LLC | 115 Wellness Dr, Williston, VT 05495-2088 |
| Nicole W Davignon | Physical Therapy | Physical Therapy Center of Vermont LLC | 115 Wellness Dr, Williston, VT 05495-2088 |
| Jillian C O Womersley | Physical Therapy | Physical Therapy Center of Vermont LLC | 115 Wellness Dr, Williston, VT 05495-2088 |
| Melissa Grealis | Physical Therapy | Physical Therapy Center of Vermont LLC | 115 Wellness Dr, Williston, VT 05495-2088 |
| Lindsay Mott | Physical Therapy | Physical Therapy Center of Vermont LLC | 115 Wellness Dr, Williston, VT 05495-2088 |
| Esther E Halden | Physical Therapy | Physical Therapy Center of Vermont LLC | 115 Wellness Dr, Williston, VT 05495-2088 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimlee D. Butterfield | Clinical Social Worker | 403 White Birch Lane, Williston, VT 05495 | |
| Thomas M Barritt | Clinical Social Worker | 183 Talcott Rd, Suite 206, Williston, VT 05495-2075 | |
| Susan Lillich | Psychologist, Clinical | 183 Talcott Rd, Suite 206, Williston, VT 05495-2075 | |
| Samantha B Barr | Psychologist, Clinical | 183 Talcott Rd, Suite 206, Williston, VT 05495-2075 | |
| Lori D Soule | Clinical Social Worker | 183 Talcott Rd, Suite 206, Williston, VT 05495-2075 | |
| Jessica J Rodd | Clinical Social Worker | 183 Talcott Rd, Suite 206, Williston, VT 05495-2075 | |
| Lillian M Borek | Clinical Social Worker | 183 Talcott Rd, Suite 206, Williston, VT 05495-2075 | |
| William J Schenck | Chiropractic | 205 Cornerstone Dr, Williston, VT 05495-4035 | |
| Anne L Viselli | Obstetrics/gynecology | Vermont Urogynecology Associates, PC | 71 Knight Ln, Williston, VT 05495-4432 |
| Maureen Fraser | Physical Therapy | Choice Physical Therapy LLC | 22 Merchants Row, Williston, VT 05495-4478 |
| Find all physicians in zip 05495 | |||
| City | WILLISTON |
| Zip Code | 05495 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | WILLISTON + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.