NPIMap

Organization Active NPI

Green Mountain Physical Therapy, LLC

  • Sports Physical Therapist
  • Bellingham, WA
National Provider Identifier
1033887906
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Legal business name
GREEN MOUNTAIN PHYSICAL THERAPY, LLC
Practice address
701 E Holly St
Bellingham, WA 98225-4712
Phone
(360) 230-8033
Fax
(425) 315-7024
NPI assigned
Sep 3, 2021
Organization subpart
Yes
Parent organization
GREEN MOUNTAIN PHYSICAL THERAPY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Authorized official

Name
Dr. Sarah Paxson, PT, DPT, OCSNPI 1760818876
Title
Physical Therapist / Owner
Phone
(802) 272-4267

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
Sports Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251S0007X Primary

Addresses

Primary practice location

701 E Holly St
Bellingham, WA 98225-4712

Mailing address

701 E Holly St
Bellingham, WA 98225-4712
Phone (360) 230-8033

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@greenmtnpt.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Part of
Green Mountain Physical Therapy LLC

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": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1033887906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E HOLLY ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254712",
            "telephone_number": "360-230-8033",
            "fax_number": "425-315-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E HOLLY ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254712",
            "telephone_number": "360-230-8033",
            "fax_number": "425-315-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN PHYSICAL THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREEN MOUNTAIN PHYSICAL THERAPY, LLC",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "PAXSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "802-272-4267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@greenmtnpt.com",
            "affiliation": "N",
            "endpointDescription": "e-mail address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "701 E Holly St",
            "city": "Bellingham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982254712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.