Backroads Physical Therapy & Wellness PLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BACKROADS PHYSICAL THERAPY & WELLNESS PLC

Practice address

546 Thomas LN
Stowe, VT 05672-5438

Phone

(802) 585-3155

NPI assigned

Jun 21, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle RousseauNPI 1437567724

Title

Owner

Phone

(802) 585-3155

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Rousseau

  • Physical Therapist
  • Stowe, VT
  • NPI 1437567724
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1003591439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1342",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056721342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 THOMAS LN",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056725438",
            "telephone_number": "802-585-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKROADS PHYSICAL THERAPY & WELLNESS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "ROUSSEAU",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-585-3155"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten A Alexander, DC
• Christopher P Altadonna, DDS
• Robert Burns Arnot, M.D.
• Robert Charles Bauman, O.D.
• Kary Ann Bennett, M.A.
• Laura Kolomiec Biron, RD, CD
• David M. Bisbee, M.D.
• Jasmine Marie Bombard

• All providers in Stowe, VT
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.