Amy L Chiriatti, MPT
Individual provider Active NPI Physical Therapist · East Thetford, VT
NPI 1619204617 · NPPES record last updated Feb 27, 2025
Key facts
- NPI
- 1619204617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 040.0051603 (VT)
- Practice address
- 321 VT Rte 113
East Thetford, VT 05043 - Phone
- (802) 565-0424
- NPI assigned
- Nov 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040.0051603 | VT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040.0051603 | VT | Yes |
Addresses
Primary practice location
321 VT Rte 113
East Thetford, VT 05043
Mailing address
321 VT Rte 113
East Thetford, VT 05043
Phone (802) 565-0424
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mountainsidewellnessvt.com |
Other providers in East Thetford, VT
- Erin Catherine Donahue
- Duncan Nichols Licsw
- Kimberly Lawrence Kol
- Sara Lamie
- Mountainside Chiropractic
All providers in East Thetford, VT · Physical Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.