Michelle Lynn Rosen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040-0003602 Issued in VT

Practice address

61 Huntington Rd
Unit 1a
Richmond, VT 05477-9708

Phone

(802) 434-8495

Fax

(802) 434-8499

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Lynn Chastulik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194771907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 WESTALL DR",
            "city": "RICHMOND",
            "state": "VT",
            "postal_code": "054779049",
            "telephone_number": "802-434-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 HUNTINGTON RD",
            "address_2": "UNIT 1A",
            "city": "RICHMOND",
            "state": "VT",
            "postal_code": "054779708",
            "telephone_number": "802-434-8495",
            "fax_number": "802-434-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040-0003602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "CHASTULIK",
            "middle_name": "LYNN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richmond Rescue Incorporated
• Riverside Psychology PLLC
• Rooted Wellness PLC
• Rose Poney Counseling Services, LLC
• Kelsey Rose
• Jodi Russell
• Logan Sangrey, DC
• Helen Schottel, M.D.
• Adoria Senning, PSYCHOLOGIST-MASTER
• Erin J Sepic, D.C.

• Physical Therapist in Richmond, VT
• Providers in Richmond, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.