Organization Active NPI

Green Mountain Pelvic Health PLLC

  • Occupational Therapist
  • Bennington, VT
National Provider Identifier
1538082284
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
GREEN MOUNTAIN PELVIC HEALTH PLLC
Practice address
207 Main St
Bennington, VT 05201-3049
Phone
(802) 736-6218
Fax
(802) 277-7309
NPI assigned
Jul 31, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Mary Laura Naylor Hultgren, MOTR/L
Title
Occupational Therapist
Phone
(802) 736-6218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

207 Main St
Bennington, VT 05201-3049

Mailing address

314 Lake Dr
North Bennington, VT 05257-9167
Phone (802) 736-6218

National Provider Directory

National Provider Directory

Locations

207 Main St
Bennington, VT 05201
Phone (802) 447-1231

NPI Registry JSON

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1538082284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 LAKE DR",
            "city": "NORTH BENNINGTON",
            "state": "VT",
            "postal_code": "052579167",
            "telephone_number": "802-736-6218",
            "fax_number": "802-277-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MAIN ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052013049",
            "telephone_number": "802-736-6218",
            "fax_number": "802-277-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN PELVIC HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "HULTGREN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LAURA NAYLOR",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "802-736-6218",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.