CHIRO-MED & REHAB NPI 1124384938

NPI Information

  • NPI: 1124384938
  • Provider Name: CHIRO-MED & REHAB
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Organization
  • Address: 345 ELM ST
    BENNINGTON, VT
    ZIP 05201
  • Phone: (802) 753-7930

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NPI Details

CHIRO-MED & REHAB is an orthopedic physical therapist in Bennington, VT. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. CHIRO-MED & REHAB NPI is 1124384938. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

345 ELM ST
BENNINGTON, VT
ZIP 05201-265
Phone: (802) 753-7930
Fax: (802) 753-7924

The provider's authorized official is Kenneth James Sullivan-bol .
The authorized official title is President/ Ceo and has the following contact phone number (802) 753-7930.

The enumeration date for this NPI number is 4/5/2012 and was last updated on 4/24/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor006.0061495VERMONTNo
2111N00000XChiropractor38-009348ILLINOISNo
32251X0800XPhysical TherapistOrthopedic006.0061495VERMONTYes
4225X00000XOccupational TherapistNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11020447MEDICAIDVERMONT

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: 11/21/2025

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