Courtney Lynn Iverson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0400050773 Issued in VT

Practice address

70 Marshall Ave
#201
Williston, VT 05495-8939

Phone

(802) 878-6656

Fax

(802) 878-6099

NPI assigned

Jul 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Rush-Select Holdings, LLC

  • Physical Therapy Clinic/Center
  • Portage, IN
  • NPI 1659001451
  NPD (past)

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1508096355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 693",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054950693",
            "telephone_number": "802-878-6656",
            "fax_number": "802-878-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MARSHALL AVE",
            "address_2": "#201",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958939",
            "telephone_number": "802-878-6656",
            "fax_number": "802-878-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400050773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garret H Huyer, RPH
• Ini PC
• Inspired Woodman Health & Human Services Institute
• Interventional Spine of Vermont, PLLC
• Ivan Tomek MD PLLC
• Pamela Lee Jackson, M.D.
• Kramer Jakubek, PT, DPT, CSCS
• Jacqueline Jancaitis, DPT
• Callan Janowiec, FNP
• Adrienne Jarvis, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.