Provider Demographics
NPI:1740299890
Name:PHYSICAL THERAPY PLUS LLC
Entity type:Organization
Organization Name:PHYSICAL THERAPY PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICAL THERAPY PLUS LLC
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEVAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:802-464-3151
Mailing Address - Street 1:PO BOX 716
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05363-0716
Mailing Address - Country:US
Mailing Address - Phone:802-464-3151
Mailing Address - Fax:802-464-3116
Practice Address - Street 1:30 VT ROUTE 100 S
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:VT
Practice Address - Zip Code:05363-7944
Practice Address - Country:US
Practice Address - Phone:802-464-3151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTPHYS00068651OtherBCBS
0422748OtherCIGNA
VTPHYS00068651OtherBCBS