Provider Demographics
NPI:1508958059
Name:D'APONTE, LUCY B (MS, PT)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:B
Last Name:D'APONTE
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 516
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:VT
Mailing Address - Zip Code:05674-0516
Mailing Address - Country:US
Mailing Address - Phone:802-583-4319
Mailing Address - Fax:
Practice Address - Street 1:137 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:VT
Practice Address - Zip Code:05676-1515
Practice Address - Country:US
Practice Address - Phone:802-244-1140
Practice Address - Fax:802-244-6851
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040-0003572225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT411770OtherMVP PT PROVIDER
VT6615859OtherCIGNA PT PROVIDER
VT1010651Medicaid
VT59861OtherBCBS PT PROVIDER
VT6615859OtherCIGNA PT PROVIDER