NPIMap

Organization Active NPI

Momentum Physical Therapy PLC

  • Physical Therapist
  • S Burlington, VT
National Provider Identifier
1346318565
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040-003494 Issued in VT
Legal business name
MOMENTUM PHYSICAL THERAPY PLC
Practice address
10 Farrell St Ste 7
S Burlington, VT 05403-6371
Phone
(802) 864-6262
Fax
(802) 864-6252
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Maura M Guyer, PTNPI 1164432753
Title
Physical Therapist
Phone
(802) 864-6262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 040-003494 VT Primary

Addresses

Primary practice location

10 Farrell St Ste 7
S Burlington, VT 05403-6371

Mailing address

10 Farrell St Ste 7
S Burlington, VT 05403-6371
Phone (802) 864-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070105000349 VT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5890795348 Receives reassigned benefits from 14 practitioners
Practice locations: S Burlington, VT

National Provider Directory

National Provider Directory

Locations

160 Flynn Ave
Burlington, VT 05401
Phone (802) 864-6262

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1346318565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FARRELL ST STE 7",
            "city": "S BURLINGTON",
            "state": "VT",
            "postal_code": "054036371",
            "telephone_number": "802-864-6262",
            "fax_number": "802-864-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FARRELL ST STE 7",
            "city": "S BURLINGTON",
            "state": "VT",
            "postal_code": "054036371",
            "telephone_number": "802-864-6262",
            "fax_number": "802-864-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM PHYSICAL THERAPY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "GUYER",
        "authorized_official_first_name": "MAURA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "802-864-6262",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040-003494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in S Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.