Active NPI
Marilyn Ong, DPT
- Physical Therapist
- Essex Junction, VT
National Provider Identifier
1003554080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040.0134424
- Practice address
- 21 Carmichael St Ste 101
Essex Junction, VT 05452-3186 - Phone
- (802) 878-9572
- NPI assigned
- May 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040.0134424 | VT | Primary |
Addresses
Primary practice location
21 Carmichael St Ste 101
Essex Junction, VT 05452-3186
Mailing address
7 Willow St
Burlington, VT 05401-2819
Phone (909) 234-6168
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VN3593 | Other | VT | MEDICARE |
| 1011104 | Medicaid | VT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@eptvt.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paquette Therapy Corporation | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1003554080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 WILLOW ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054012819",
"telephone_number": "909-234-6168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 CARMICHAEL ST STE 101",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "054523186",
"telephone_number": "802-878-9572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONG",
"first_name": "MARILYN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-20",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040.0134424",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "VN3593",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011104",
"state": "VT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@eptvt.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "21 Carmichael St Ste 101",
"city": "Essex Junction",
"state": "VT",
"country_code": "US",
"postal_code": "054523186",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Essex Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.