Active NPI
Amy D. Candon, PT, PLC
- Physical Therapy Clinic/Center
- South Burlington, VT
National Provider Identifier
1639554496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 040.0003503
- Legal business name
- AMY D. CANDON, PT, PLC
- Practice address
- 1 Kennedy Dr Unit 3
South Burlington, VT 05403-7152 - Phone
- (802) 863-3323
- NPI assigned
- Jul 22, 2015
- Last updated
- May 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy D Candon
- Title
- Physical Therapist
- Phone
- (802) 238-0446
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 040.0003503 | VT | Primary |
Addresses
Primary practice location
1 Kennedy Dr Unit 3
South Burlington, VT 05403-7152
Mailing address
1 Kennedy Dr Unit 3
South Burlington, VT 05403-7152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1 Kennedy Dr
Uppr 34
South Burlington, VT 05403
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- South Burlington, VT
- NPI 1013985795
-
- Physical Therapist
- South Burlington, VT
- NPI 1487733176
-
- Physical Therapist
- S Burlington, VT
- NPI 1801976774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557964800000",
"number": "1639554496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KENNEDY DR UNIT 3",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054037152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KENNEDY DR UNIT 3",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054037152",
"telephone_number": "802-863-3323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMY D. CANDON, PT, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-22",
"last_updated": "2019-05-16",
"status": "A",
"authorized_official_last_name": "CANDON",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "802-238-0446"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "VT",
"license": "040.0003503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.