Jill Ann Bulambao Malazarte, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0400080856 Issued in VT

Practice address

105 Chester Rd
Springfield, VT 05156-2106

Phone

(802) 885-5741

NPI assigned

Nov 27, 2015

Last updated

Nov 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Equipoise Occupational Therapy PLLCGroup PAC ID 1658775903, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Equipoise Occupational Therapy, PLLC

  • Occupational Therapist
  • Chester, VT
  • NPI 1932772571

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1448582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448582400000",
    "number": "1316311533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CHESTER RD",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562106",
            "telephone_number": "802-885-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHESTER RD",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562106",
            "telephone_number": "802-885-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAZARTE",
        "first_name": "JILL ANN",
        "middle_name": "BULAMBAO",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-27",
        "last_updated": "2015-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400080856",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynch
• Victoria Lynch
• Catherine Mace-Tracy
• Lori L. Macie, LICSW
• Kathryn Anne Macksoud
• Madhulatha Reddy Malireddy
• Lucy Zhang Manning, ACU
• Jennifer Marandino, BA
• Chantelle Marechaux, BA
• Heather Marquez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.