Active NPI
Maurice Joseph Cyr, DC FICC
- Rehabilitation Chiropractor
- Rutland, VT
National Provider Identifier
1013097716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 0060000734
- Practice address
- 245 Stratton Rd
Rutland, VT 05701-4621 - Phone
- (802) 775-6961
- Fax
- (802) 773-9668
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 0060000734 | VT | Primary |
Addresses
Primary practice location
245 Stratton Rd
Rutland, VT 05701-4621
Mailing address
245 Stratton Rd
Physical Rehabilitation and Health Center
Rutland, VT 05701
Phone (802) 775-6961
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VT2507 | Other | VT | MEDICARE LEGACY |
| VT2507 | Other | VT | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100609000856 | VT | Practitioner - Chiropractic | 5092845586 | Practice locations: Rutland, VT |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
245 Stratton Rd
Rutland, VT 05701-4621
Phone (802) 775-6961
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0060000734 | VT | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1013097716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 STRATTON RD",
"address_2": "PHYSICAL REHABILITATION AND HEALTH CENTER",
"city": "RUTLAND",
"state": "VT",
"postal_code": "05701",
"telephone_number": "802-775-6961",
"fax_number": "802-773-9668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 STRATTON RD",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014621",
"telephone_number": "802-775-6961",
"fax_number": "802-773-9668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CYR",
"first_name": "MAURICE",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC FICC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "VT",
"license": "0060000734",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE LEGACY",
"identifier": "VT2507",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "VT2507",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.