Slate Valley Physical Therapy, Inc.
Organization Active NPI Physical Therapist · Castleton, VT
NPI 1013245307 · NPPES record last updated Nov 24, 2009
Key facts
- NPI
- 1013245307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0400003446 (VT)
- Legal business name
- SLATE VALLEY PHYSICAL THERAPY, INC.
- Practice address
- 218 B Route 4a West
Castleton, VT 05735-0218 - Phone
- (802) 468-5555
- Fax
- (802) 468-5557
- NPI assigned
- Nov 24, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael Patrick Finnegan, PT, ATC
- Title
- Owner, Physical Therapist
- Phone
- (802) 468-5555
Practitioners 2
-
Kathryn Anne Moser, MPT, ATC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091209000155 | VT | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8426197146 |
Receives reassigned benefits from 1 practitioner Practice locations: Castleton, VT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 0400003446 | VT | Yes |
Addresses
Primary practice location
218 B Route 4a West
Castleton, VT 05735-0218
Mailing address
PO Box 91
Bomoseen, VT 05732-0091
Phone (802) 468-5555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008127 | Medicaid | VT |
Other providers in Castleton, VT
- Rebekah Peterson
- Rebecca Anne Roy
- Saltis Home
- Dajana Scott-Smith
- Natalie Elizabeth Simecek
- Aaron Soskin
- Kate Elizabeth Steller
- Sunset House - Birdseye, Inc.
- The Harvey House LTD
- Elly R. Ventura
All providers in Castleton, VT · Physical Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.