Organization Active NPI

Wellfound Physical Therapy and Fitness, LLC

  • Physical Therapist
  • Williston, VT
National Provider Identifier
1033774484
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WELLFOUND PHYSICAL THERAPY AND FITNESS, LLC
Practice address
1193 S Brownell Rd Ste 20
Williston, VT 05495-7416
Phone
(802) 343-6279
NPI assigned
May 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Authorized official

Name
Jennifer Cadorette, DPTNPI 1245755057
Title
Owner/Manager
Phone
(802) 343-6279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1193 S Brownell Rd Ste 20
Williston, VT 05495-7416

Mailing address

1193 S Brownell Rd Ste 20
Williston, VT 05495-7416
Phone (802) 343-6279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190725003394 VT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931432077 Receives reassigned benefits from 1 practitioner
Practice locations: Williston, VT

National Provider Directory

National Provider Directory

Locations

1193 S Brownell Rd
Ste 20
Williston, VT 05495
Phone (802) 343-6279

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1033774484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1193 S BROWNELL RD STE 20",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957416",
            "telephone_number": "802-343-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1193 S BROWNELL RD STE 20",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957416",
            "telephone_number": "802-343-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLFOUND PHYSICAL THERAPY AND FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "CADORETTE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "802-343-6279",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.