Active NPI
Charles Anthony Paolantonio, D.C.
- Sports Physician Chiropractor
- North Ferrisburgh, VT
National Provider Identifier
1649369216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 006-0000623
- Practice address
- 381 Morgan Rd
North Ferrisburgh, VT 05473-9750 - Phone
- (802) 388-3033
- NPI assigned
- Oct 12, 2006
- Last updated
- Mar 3, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 006-0000623 | VT | Primary |
Addresses
Primary practice location
381 Morgan Rd
North Ferrisburgh, VT 05473-9750
Mailing address
381 Morgan Rd
North Ferrisburgh, VT 05473-9750
Phone (802) 425-3625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040908000218 | VT | Practitioner - Chiropractic | 3779559190 | Practice locations: Shelburne, VT |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
145 Pine Haven Shores Rd
Suite 1153
Shelburne, VT 05482-7703
Phone (802) 417-9286
166 Athletic Dr
Shelburne, VT 05482-4433
Phone (802) 985-4460
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006-0000623 | VT | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Chiropractic & Kinesiology | Past | Accepting new patients | |
| Dee Physical Therapy Services PLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Burlington, VT
- NPI 1013088426
-
- Physical Therapist
- South Burlington, VT
- NPI 1083773436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520035200000",
"number": "1649369216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "381 MORGAN RD",
"city": "NORTH FERRISBURGH",
"state": "VT",
"postal_code": "054739750",
"telephone_number": "802-425-3625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 MORGAN RD",
"city": "NORTH FERRISBURGH",
"state": "VT",
"postal_code": "054739750",
"telephone_number": "802-388-3033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAOLANTONIO",
"first_name": "CHARLES",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2018-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "VT",
"license": "006-0000623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Ferrisburgh, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2018; 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.