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PEDIATRIC PHYSICAL THERAPY SERVICES PC NPI 1750580858


NPI Information

NPI: 1750580858
Provider Name: PEDIATRIC PHYSICAL THERAPY SERVICES PC
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
40 HIGH ST
MIDDLEBURY, VT
ZIP 05753
Phone: (802) 388-1153
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PEDIATRIC PHYSICAL THERAPY SERVICES PC is a pediatrics physical therapist in Middlebury, VT. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. PEDIATRIC PHYSICAL THERAPY SERVICES PC NPI is 1750580858. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

40 HIGH ST
MIDDLEBURY, VT
ZIP 05753-209
Phone: (802) 388-1153
Fax: (802) 388-1153

The provider's authorized official is Kim Perkins Kelley .
The authorized official title is President and has the following contact phone number (802) 388-1153.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 7/17/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251P0200XPhysical TherapistPediatrics040-0002043VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
119824OTHERVERMONTBLUE CROSS BLUE SHIELD OF

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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