Individual provider Active NPI

Amy Joy Frawley, PT, DPT

  • Physical Therapist
  • Williston, VT
National Provider Identifier
1184090367
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209626 Issued in VA
Practice address
373 Blair Park Rd
Williston, VT 05495-8037
Phone
(802) 876-6000
NPI assigned
Aug 11, 2015
Last updated
May 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305209626 VA Primary

Addresses

Primary practice location

373 Blair Park Rd
Williston, VT 05495-8037

Mailing address

303 S Beach Rd
South Burlington, VT 05403-7744
Phone (802) 310-0129

Other names 1

  • Amy Joy Boerman Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160725000744 VT Practitioner - Physical Therapist in Private Practice 2365759834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Rehabgym IncGroup PAC ID 5092619411, 23 clinicians

Practice addresses (Care Compare)

373 Blair Park Rd
Unit 100
Williston, VT 05495-8077
Phone (802) 876-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dee Physical Therapy Services PLC Physical Therapist CurrentSince Jul 11, 2016 Accepting new patients
The Rehabgym Inc Physical Therapist CurrentSince May 14, 2018 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Aug 13, 2015 Accepting new patients

Locations

219 N Main St
Ste 103
Barre, VT 05641
Phone (802) 479-4000

905 Roosevelt Hwy
Ste 115
Colchester, VT 05446
Phone (802) 861-0111

166 Athletic Dr
Shelburne, VT 05482
Phone (802) 985-4440

23 San Remo Dr
Ste 101
South Burlington, VT 05403
Phone (802) 865-0010

373 Blair Park Rd
Unit 100
Williston, VT 05495
Phone (802) 876-6000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1184090367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S BEACH RD",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037744",
            "telephone_number": "802-310-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 BLAIR PARK RD",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958037",
            "telephone_number": "802-876-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAWLEY",
        "first_name": "AMY",
        "middle_name": "JOY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BOERMAN",
            "middle_name": "JOY",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 3, 2018; 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.