Provider Demographics
NPI:1225658271
Name:DORSET PHYSIO OUTPATIENT PHYSICAL THERAPY PLC
Entity Type:Organization
Organization Name:DORSET PHYSIO OUTPATIENT PHYSICAL THERAPY PLC
Other - Org Name:STRATTON PHYSIO
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINIC OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:RAYE
Authorized Official - Last Name:GAIOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, OCS
Authorized Official - Phone:802-867-7056
Mailing Address - Street 1:PO BOX 524
Mailing Address - Street 2:
Mailing Address - City:DORSET
Mailing Address - State:VT
Mailing Address - Zip Code:05251
Mailing Address - Country:US
Mailing Address - Phone:802-867-7056
Mailing Address - Fax:802-440-0280
Practice Address - Street 1:909 ROUTE 30
Practice Address - Street 2:
Practice Address - City:DORSET
Practice Address - State:VT
Practice Address - Zip Code:05251-9661
Practice Address - Country:US
Practice Address - Phone:802-867-7056
Practice Address - Fax:802-440-0280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-20
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center