Active NPI
Lone Pedersen Barlous, PT
- Physical Therapist
- South Burlington, VT
National Provider Identifier
1003906439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0400003629
- Practice address
- 3000 Williston Rd
South Burlington, VT 05403-6082 - Phone
- (802) 660-3110
- Fax
- (802) 860-4396
- NPI assigned
- Oct 14, 2006
- Last updated
- Sep 25, 2008
- 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 | 0400003629 | VT | Primary |
Addresses
Primary practice location
3000 Williston Rd
South Burlington, VT 05403-6082
Mailing address
26 Skyview Dr
Jericho, VT 05465
Phone (802) 899-1449
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0400003629 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spinal Care and Decompression Center of VT PLLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- South Burlington, VT
- NPI 1437318029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1003906439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 SKYVIEW DR",
"city": "JERICHO",
"state": "VT",
"postal_code": "05465",
"telephone_number": "802-899-1449",
"fax_number": "802-860-4396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 WILLISTON RD",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054036082",
"telephone_number": "802-660-3110",
"fax_number": "802-860-4396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARLOUS",
"first_name": "LONE",
"middle_name": "PEDERSEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-14",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "0400003629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.