Active NPI
Dream Jar Farms LLC
Doing business as FYZICAL Therapy and Balance Centers Williston
- Physical Therapist
- Williston, VT
National Provider Identifier
1114696739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- DREAM JAR FARMS LLC
- Doing business as
- FYZICAL Therapy and Balance Centers Williston
- Practice address
- 62 Merchants Row Ste 202
Williston, VT 05495-4476 - Phone
- (802) 735-4208
- NPI assigned
- Sep 8, 2021
- Last updated
- Nov 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sydney Rebecca Swindell, DPT
- Title
- Owner
- Phone
- (802) 857-5407
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
62 Merchants Row Ste 202
Williston, VT 05495-4476
Mailing address
62 Merchants Row Ste 202
Williston, VT 05495-4476
Phone (802) 857-5407
Other names 1
- FYZICAL Therapy and Balance Centers Williston
National Provider Directory
National Provider DirectoryLocations
62 Merchants Row
Ste 202
Williston, VT 05495
Phone (802) 735-4208
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Hand Occupational Therapist
- Williston, VT
- NPI 1366693814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700092800000",
"number": "1114696739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 MERCHANTS ROW STE 202",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054954476",
"telephone_number": "802-857-5407",
"fax_number": "802-857-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 MERCHANTS ROW STE 202",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054954476",
"telephone_number": "802-735-4208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAM JAR FARMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-08",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A",
"authorized_official_last_name": "SWINDELL",
"authorized_official_first_name": "SYDNEY",
"authorized_official_middle_name": "REBECCA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "802-857-5407",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FYZICAL Therapy and Balance Centers Williston",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "FYZICAL Therapy and Balance Centers Williston",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.