Provider Demographics
NPI:1093897464
Name:ASSOCIATES IN PHYSICAL AND OCCUPATIONAL THERAPY
Entity Type:Organization
Organization Name:ASSOCIATES IN PHYSICAL AND OCCUPATIONAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:LABARGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-879-0909
Mailing Address - Street 1:PO BOX 1064
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-1064
Mailing Address - Country:US
Mailing Address - Phone:802-879-0909
Mailing Address - Fax:802-879-3095
Practice Address - Street 1:151 BLAIR PARK RD
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-7435
Practice Address - Country:US
Practice Address - Phone:802-879-0909
Practice Address - Fax:802-879-3095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT5374OtherBC/BS GROUP #
VT27292OtherCIGNA GROUP #
VT54022OtherMVP GRP #
VT0476503Medicaid
VT5374OtherBC/BS GROUP #
VT476503Medicare ID - Type Unspecified