Active NPI
Vance Schug II, ATC,PES
- Athletic Trainer
- South Burlington, VT
National Provider Identifier
1336284769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1040000027
- Practice address
- 78 Eastwood Dr
South Burlington, VT 05403-4402 - Phone
- (802) 658-0949
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1040000027 | VT | Primary |
Addresses
Primary practice location
78 Eastwood Dr
South Burlington, VT 05403-4402
Mailing address
89 Laplatte Cir
Shelburne, VT 05482-6823
Phone (802) 985-2670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1040000027 | VT | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poulin Performance, Inc. | Past | Accepting new patients | |
| Momentum Physical Therapy PLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- S Burlington, VT
- NPI 1346318565
-
- Physical Therapist
- South Burlington, VT
- NPI 1174553283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1336284769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 LAPLATTE CIR",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "054826823",
"telephone_number": "802-985-2670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 EASTWOOD DR",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054034402",
"telephone_number": "802-658-0949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUG",
"first_name": "VANCE",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "ATC,PES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VT",
"license": "1040000027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.