Rebecca Rae Gladden, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

104.0055304 Issued in VT

Practice address

184 Route 7 S
Milton, VT 05468-3602

Phone

(802) 893-7427

NPI assigned

Jul 26, 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)

Not 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.

• Excel Physical Therapy Inc

  • Physical Therapist
  • Milton, VT
  • NPI 1982708012
  NPD (past)

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

{
    "created_epoch": "1248566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1639309529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 JEWELL AVE",
            "city": "SWANTON",
            "state": "VT",
            "postal_code": "054888627",
            "telephone_number": "802-309-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 ROUTE 7 S",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054683602",
            "telephone_number": "802-893-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADDEN",
        "first_name": "REBECCA",
        "middle_name": "RAE",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-26",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VT",
            "license": "104.0055304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francine T Tougas
• Allison Garvey
• Louise George
• Melisa Gail Gibson, MD
• Mark Steven Ginsburg
• Susan Marie Gokey, LPN
• Michael Gordon, ATC
• Preston Alexander Graham, MD
• Granite Pharmacy Inc.
• Zachary Robert Grenier

• All providers in Milton, VT
• Athletic Trainer in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.