Michael Patrick Finnegan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1040000077 Issued in VT

Practice address

218B RT 4a West
Slate Valley Physical Therapy
Castleton, VT 05735

Phone

(802) 468-5555

Fax

(802) 468-5557

NPI assigned

Jul 31, 2006

Last updated

Jun 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Slate Valley Physical Therapy, Inc.

  • Physical Therapist
  • Castleton, VT
  • NPI 1013245307
  Medicare reassignment Authorized official
• Vermont Sports Medicine Center

  • Prosthetic/Orthotic Supplier
  • Rutland, VT
  • NPI 1689832594
  NPD (past)
• Vermont Sports Medicine Center

  • Occupational Therapist
  • Rutland, VT
  • NPI 1730103300

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1083620017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "address_2": "SLATE VALLEY PHYSICAL THERAPY",
            "city": "BOMOSEEN",
            "state": "VT",
            "postal_code": "057320091",
            "telephone_number": "802-468-5555",
            "fax_number": "802-468-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218B RT 4A WEST",
            "address_2": "SLATE VALLEY PHYSICAL THERAPY",
            "city": "CASTLETON",
            "state": "VT",
            "postal_code": "05735",
            "telephone_number": "802-468-5555",
            "fax_number": "802-468-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNEGAN",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "1040000077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008127",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00058299",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "43220",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7592575",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cerise Marie Boucher, ATC
• Nicholas David Brown
• Jenna Rae Bushey, RN
• Paul E Diekel, DC
• Dorina Kramer. DDS (Castleton Dental Office)
• John Michael Hamme
• Rebecca Hannwacker
• Tammy Harte, RDH,LNA
• David Don Hassebroek, DDS
• Dylan Robert Hedler

• Physical Therapist in Castleton, VT
• Providers in Castleton, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.

Verify at the official NPI Registry.