Organization Active NPI

Rehabgym

  • Physical Therapist
  • Colchester, VT
National Provider Identifier
1235548355
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040.0103100 Issued in VT
Legal business name
REHABGYM
Practice address
905 Roosevelt Hwy
Colchester, VT 05446-4475
Phone
(802) 861-0111
NPI assigned
Aug 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Authorized official

Name
Sharon Gutwin, PT
Title
Owner
Phone
(802) 861-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 040.0103100 VT Primary

Addresses

Primary practice location

905 Roosevelt Hwy
Colchester, VT 05446-4475

Mailing address

905 Roosevelt Hwy
Colchester, VT 05446-4475
Phone (802) 861-0111

National Provider Directory

National Provider Directory
Tax ID family
Rehabgym2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1235548355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 ROOSEVELT HWY",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464475",
            "telephone_number": "802-861-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ROOSEVELT HWY",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464475",
            "telephone_number": "802-861-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABGYM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "GUTWIN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-861-0111",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0103100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.