Organization Active NPI

Dream Jar Farms LLC

Doing business as FYZICAL Therapy and Balance Centers Williston

  • Physical Therapist
  • Williston, VT
National Provider Identifier
1114696739
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.