Hugh Main, PT
Individual provider Active NPI Physical Therapist · Manchester, VT
NPI 1245303601 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1245303601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0000747 (VT)
- Practice address
- 3800 Main Street
Manchester, VT 05254-0407 - Phone
- (802) 362-4004
- Fax
- (802) 362-4004
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000747 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livingston Chiropractic and Rehabilitation Associates, LLC | Past | Accepting new patients | |
| Livingston Chiropractic and Rehab Inc | Past |
Accepting new patients | |
| Alpine Physical Therapy & Sports Care, P.C. | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0000747 | VT | Yes |
Addresses
Primary practice location
3800 Main Street
Manchester, VT 05254-0407
Mailing address
825 E Manchester Road
PO Box 407
Manchester, VT 05254-0407
Phone (802) 362-1692
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VN 3295 | Medicaid | VT | |
| S9671 | Other | VT | BCBS |
| 410052 | Other | VT | MVP |
Other providers in Manchester, VT
- Donald Henry Grenier Jr.
- Samantha Burnham Ingerick
- Elizabeth Jorgensen
- Maxwell Levis
- Main Physical Therapy LLC
- Mason Dental PC
- Metta Healing, LLC
- Marion Miller-Rumney
- Tamra F Mooney
- Pinkus Family Chiropractic
All providers in Manchester, VT · Physical Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.