Provider Demographics
NPI:1770651523
Name:ALL SEASONS PHYSICAL THERAPY CONSULTANTS INC
Entity Type:Organization
Organization Name:ALL SEASONS PHYSICAL THERAPY CONSULTANTS INC
Other - Org Name:LONG TRAIL PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILANO
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:802-865-2222
Mailing Address - Street 1:789 PINE ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-4933
Mailing Address - Country:US
Mailing Address - Phone:802-264-1052
Mailing Address - Fax:802-264-1053
Practice Address - Street 1:789 PINE ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-4933
Practice Address - Country:US
Practice Address - Phone:802-264-1052
Practice Address - Fax:802-264-1053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2011-05-12
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
VTDIVN2163Medicare ID - Type UnspecifiedPHYSICAL THERAPIST
VTDIVN3348Medicare ID - Type UnspecifiedPHYSICAL THERAPIST
VTDIVN3200Medicare ID - Type UnspecifiedPHYSICAL THERAPIST
VTVNW3277Medicare ID - Type UnspecifiedGROUP PRACTICE
VTROVN3934Medicare ID - Type UnspecifiedPHYSICAL THERAPIST