NPIMap

Organization Active NPI

Main Physical Therapy LLC

  • Physical Therapist
  • Manchester, VT
National Provider Identifier
1184773111
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0000747 Issued in VT
Legal business name
MAIN PHYSICAL THERAPY LLC
Practice address
3800 Main Street
Manchester, VT 05254-0407
Phone
(802) 362-4004
Fax
(802) 362-4004
NPI assigned
Jan 9, 2007
Last updated
Aug 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Mr. Hugh M Main, PTNPI 1245303601
Title
Owner
Phone
(802) 362-4004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0000747 VT Primary

Addresses

Primary practice location

3800 Main Street
Manchester, VT 05254-0407

Mailing address

PO Box 407
Manchester, VT 05254-0407
Phone (802) 362-4004

Other identifiers 1

IdentifierTypeStateIssuer
OVN3294MedicaidVT

National Provider Directory

National Provider Directory

Locations

3800 Main St
Manchester, VT 05254
Phone (802) 362-4004

Practitioners & affiliated clinicians

Practitioners 4

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1184773111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "MANCHESTER",
            "state": "VT",
            "postal_code": "052540407",
            "telephone_number": "802-362-4004",
            "fax_number": "802-362-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 MAIN STREET",
            "city": "MANCHESTER",
            "state": "VT",
            "postal_code": "052540407",
            "telephone_number": "802-362-4004",
            "fax_number": "802-362-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "MAIN",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-362-4004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0000747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN3294",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.