Provider Demographics
NPI:1922334051
Name:ESSENTIAL PHYSICAL THERAPY & PILATES, LLC
Entity Type:Organization
Organization Name:ESSENTIAL PHYSICAL THERAPY & PILATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:T
Authorized Official - Last Name:LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:802-262-1500
Mailing Address - Street 1:81 RIVER ST
Mailing Address - Street 2:STE 201
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-3792
Mailing Address - Country:US
Mailing Address - Phone:802-262-1500
Mailing Address - Fax:802-262-1505
Practice Address - Street 1:81 RIVER ST STE 201
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3750
Practice Address - Country:US
Practice Address - Phone:802-262-1500
Practice Address - Fax:802-262-1505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-24
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0400003468261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy