NPIMap

Organization Active NPI

Wayfinder Wellness and Physical Therapy, LLC

  • Physical Therapist
  • South Burlington, VT
National Provider Identifier
1073098588
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WAYFINDER WELLNESS AND PHYSICAL THERAPY, LLC
Practice address
56 W Twin Oaks Ter Ste 4
South Burlington, VT 05403-7138
Phone
(603) 475-3044
NPI assigned
Oct 1, 2018
Last updated
Aug 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Dr. Emelia Brogna, DPT
Title
Owner
Phone
(603) 475-3044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

56 W Twin Oaks Ter Ste 4
South Burlington, VT 05403-7138

Mailing address

128 Lakeside Ave Ste 103
Burlington, VT 05401-4936

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181217000081 VT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0143565325 Receives reassigned benefits from 2 practitioners
Practice locations: South Burlington, VT

National Provider Directory

National Provider Directory

Locations

128 Lakeside Ave
Ste 103
Burlington, VT 05401
Phone (802) 863-9900

56 W Twin Oaks Ter
Ste 4
South Burlington, VT 05403
Phone (603) 475-3044

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18854/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1073098588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LAKESIDE AVE STE 103",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W TWIN OAKS TER STE 4",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037138",
            "telephone_number": "603-475-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYFINDER WELLNESS AND PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "BROGNA",
        "authorized_official_first_name": "EMELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-475-3044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "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 Aug 22, 2024; 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.