Provider Demographics
NPI:1184459687
Name:VERMONT PHYSICAL THERAPY OF MONTPELIER PLC
Entity type:Organization
Organization Name:VERMONT PHYSICAL THERAPY OF MONTPELIER PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:H
Authorized Official - Last Name:RAINEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-497-0736
Mailing Address - Street 1:96 S UNION ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-4079
Mailing Address - Country:US
Mailing Address - Phone:802-497-0736
Mailing Address - Fax:802-497-0812
Practice Address - Street 1:33 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3674
Practice Address - Country:US
Practice Address - Phone:802-497-0736
Practice Address - Fax:802-497-0812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy