Organization Active NPI

High Horses Therapeutic Riding Program

  • Neurology Physical Therapist
  • Wilder, VT
National Provider Identifier
1215294061
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
040-0074384 Issued in VT
Legal business name
HIGH HORSES THERAPEUTIC RIDING PROGRAM
Practice address
2727 Christian St.
Wilder, VT 05088
Phone
(802) 356-3386
NPI assigned
Apr 18, 2012
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Ms. Liz Claud
Title
Executive Director
Phone
(802) 356-3386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 040-0074384 VT Primary

Addresses

Primary practice location

2727 Christian St.
Wilder, VT 05088

Mailing address

PO Box 681
Norwich, VT 05055-0681
Phone (802) 356-3386

Other identifiers 1

IdentifierTypeStateIssuer
701102068MedicaidVT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1215294061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681",
            "city": "NORWICH",
            "state": "VT",
            "postal_code": "050550681",
            "telephone_number": "802-356-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 CHRISTIAN ST.",
            "city": "WILDER",
            "state": "VT",
            "postal_code": "05088",
            "telephone_number": "802-356-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH HORSES THERAPEUTIC RIDING PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "CLAUD",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "802-356-3386",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "VT",
            "license": "040-0074384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "701102068",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilder, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.