NPIMap

Organization Active NPI

Addison Wellness Inc

Doing business as Wells Physical Therapy Services

  • Physical Therapist
  • Middlebury, VT
National Provider Identifier
1164475612
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ADDISON WELLNESS INC
Doing business as
Wells Physical Therapy Services
Practice address
175 Wilson Rd
Suite 101
Middlebury, VT 05753
Phone
(802) 388-3533
Fax
(802) 388-2334
NPI assigned
May 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Matthew Woehlke Horne, PT CSCSNPI 1043268444
Title
President Physical Therapist
Phone
(802) 388-3533

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 Therapist 225100000X Primary

Addresses

Primary practice location

175 Wilson Rd
Suite 101
Middlebury, VT 05753

Mailing address

PO Box 764
Middlebury, VT 05753
Phone (802) 388-3533

Other identifiers 1

IdentifierTypeStateIssuer
69230OtherVTBCBS

Other names 1

  • Wells Physical Therapy Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060417000691 VT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8729097928 Receives reassigned benefits from 4 practitioners
Practice locations: Middlebury, VT

National Provider Directory

National Provider Directory

Locations

231 Court St
Middlebury, VT 05753
Phone (802) 382-8625

Practitioners & affiliated clinicians

Practitioners 10

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164475612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "05753",
            "telephone_number": "802-388-3533",
            "fax_number": "802-388-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WILSON RD",
            "address_2": "SUITE 101",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "05753",
            "telephone_number": "802-388-3533",
            "fax_number": "802-388-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "WOEHLKE",
        "authorized_official_title_or_position": "PRESIDENT PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "802-388-3533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "69230",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wells Physical Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middlebury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.