Mary Benyo Chudzik, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1878 Mountain Road
Suite 1
Stowe, VT 05677

Phone

(802) 253-2273

Fax

(802) 253-7754

NPI assigned

Aug 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Physical Therapy, IncGroup PAC ID 8628168317, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pinnacle Physical Therapy, Inc

  • Physical Therapist
  • Stowe, VT
  • NPI 1912053554
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639180672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1878 MOUNTAIN ROAD",
            "address_2": "SUITE 1",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "05677",
            "telephone_number": "802-253-2273",
            "fax_number": "802-253-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1878 MOUNTAIN ROAD",
            "address_2": "SUITE 1",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "05677",
            "telephone_number": "802-253-2273",
            "fax_number": "802-253-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDZIK",
        "first_name": "MARY",
        "middle_name": "BENYO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN2580",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58091",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Marie Bombard
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• James Charkalis, DC
• Jason James Charkalis, D.C.
• Mandy Cleland, MA
• Joshua Brooks Corn, N.D.
• Cross-Border Chiropractic Limited LLC (Rauch Family Chiropractic)
• Crystal Vision by DRS. of Optomertry (Stowe Eye Care)
• Julie Elizabeth Dauth

• Physical Therapist in Stowe, VT
• Providers in Stowe, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.