Organization Active NPI

True North Pelvic PT LLC

  • Physical Therapist
  • White River Junction, VT
National Provider Identifier
1124618087
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRUE NORTH PELVIC PT LLC
Practice address
108 N Main St
White River Junction, VT 05001-7056
Phone
(802) 755-5678
Fax
(888) 853-6970
NPI assigned
Jan 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Authorized official

Name
Amy Webster HealyNPI 1598026726
Title
Owner
Phone
(802) 755-5678

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

108 N Main St
White River Junction, VT 05001-7056

Mailing address

17 Meadow Valley Dr
Cornish, NH 03745-4647
Phone (802) 755-5678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240919001469 VT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1153736624 Receives reassigned benefits from 1 practitioner
Practice locations: White River Junction, VT

National Provider Directory

National Provider Directory

Locations

20 W Park St
Ste 423
Lebanon, NH 03766
Phone (802) 755-5678

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": "1611446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1124618087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MEADOW VALLEY DR",
            "city": "CORNISH",
            "state": "NH",
            "postal_code": "037454647",
            "telephone_number": "802-755-5678",
            "fax_number": "888-853-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N MAIN ST",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050017056",
            "telephone_number": "802-755-5678",
            "fax_number": "888-853-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE NORTH PELVIC PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-24",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "WEBSTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-755-5678"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.