Provider Demographics
NPI:1417281932
Name:ZIPPY LIFE PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:ZIPPY LIFE PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LILIANE
Authorized Official - Middle Name:B
Authorized Official - Last Name:SAVARD
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, PCS
Authorized Official - Phone:802-522-3615
Mailing Address - Street 1:32 MAIN STREET, STE 206
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-2946
Mailing Address - Country:US
Mailing Address - Phone:802-522-3615
Mailing Address - Fax:802-613-1009
Practice Address - Street 1:111 ESSEX WAY
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-4463
Practice Address - Country:US
Practice Address - Phone:802-522-3615
Practice Address - Fax:802-613-1009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1016920Medicaid