Organization Active NPI

Nordic Rehab @ Wellness

  • Specialist
  • Cambridge, VT
National Provider Identifier
1356645741
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORDIC REHAB @ WELLNESS
Practice address
272 North Main St
Cambridge, VT 05444
Phone
(802) 644-5803
Fax
(802) 644-2810
NPI assigned
Dec 29, 2010
Last updated
Dec 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Authorized official

Name
Mr. Charles S HayesNPI 1588695720
Title
Owner
Phone
(802) 644-5803

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
Specialist 174400000X VT Primary

Addresses

Primary practice location

272 North Main St
Cambridge, VT 05444

Mailing address

PO Box 152
Cambridge, VT 05444-0152
Phone (802) 644-5803

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1356645741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152",
            "city": "CAMBRIDGE",
            "state": "VT",
            "postal_code": "054440152",
            "telephone_number": "802-644-5803",
            "fax_number": "802-644-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 NORTH MAIN ST",
            "city": "CAMBRIDGE",
            "state": "VT",
            "postal_code": "05444",
            "telephone_number": "802-644-5803",
            "fax_number": "802-644-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDIC REHAB @ WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-644-5803",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.