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GREEN MOUNTAIN REHABILITATION & SPORTS MEDICINE LLC NPI 1689705139


NPI Information

NPI: 1689705139
Provider Name: GREEN MOUNTAIN REHABILITATION & SPORTS MEDICINE LLC
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
90 MAIN ST
BURLINGTON, VT
ZIP 05401
Phone: (802) 861-6700
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GREEN MOUNTAIN REHABILITATION & SPORTS MEDICINE LLC is an orthopedic physical therapist in Burlington, 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. GREEN MOUNTAIN REHABILITATION & SPORTS MEDICINE LLC NPI is 1689705139. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

90 MAIN ST
BURLINGTON, VT
ZIP 05401-419
Phone: (802) 861-6700
Fax: (802) 861-2143

The provider's authorized official is Eric Elsinger .
The authorized official title is Member and has the following contact phone number (802) 861-6700.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 11/8/2012.


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
12251X0800XPhysical TherapistOrthopedic040-0003401VERMONTNo
22251X0800XPhysical TherapistOrthopedic040-0003248VERMONTYes

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
169511OTHERVERMONTTVHP
21992711923OTHERVERMONTNPI
348616OTHERVERMONTTVHP
4BOVN2829MEDICARE ID-TYPE UNSPECIFIEDVERMONT
500048616OTHERVERMONTBCBS
61007705MEDICAIDVERMONT
700049991OTHERVERMONTBCBS
81386659100OTHERVERMONTNPI
96245674OTHERVERMONTCIGNA
10ELVN3875MEDICARE ID-TYPE UNSPECIFIEDVERMONT
114149377OTHERVERMONTMVP
125273607OTHERVERMONTFAP
136000628OTHERVERMONTMVP
149554226OTHERVERMONTCIGNA
151009289MEDICAIDVERMONT
165268301OTHERVERMONTFAP

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.