Lorraine M Farrell PT Med PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0002393 Issued in VT

Legal business name

LORRAINE M FARRELL PT MED PLLC

Practice address

267 Executive Drive
Shelburne, VT 05482

Phone

(802) 324-8455

NPI assigned

Apr 3, 2014

Organization subpart

No

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

Authorized official

Name

Lorraine Farrell

Title

Member

Phone

(802) 324-8455

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1245658574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054820802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 EXECUTIVE DRIVE",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "05482",
            "telephone_number": "802-324-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORRAINE M FARRELL PT MED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "802-324-8455"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0002393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jill L. Lyons, OTR
• Megan Hope Mackinnon, RN

• All providers in Shelburne, VT
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.