Individual provider Active NPI

Stephanie Burnish, DPT

  • Physical Therapy Clinic/Center
  • Saint Albans, VT
National Provider Identifier
1679239644
Registry record updated Nov 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
040.0134338 Issued in VT
Practice address
3 Champlain CMNS
Saint Albans, VT 05478-1563
Phone
(802) 524-1155
NPI assigned
Nov 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 040.0134338 VT Primary

Addresses

Primary practice location

3 Champlain CMNS
Saint Albans, VT 05478-1563

Mailing address

835 E Lakeshore Dr Apt 3
Colchester, VT 05446-5732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040.0134338VTMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Physical Therapy of St Albans LLC Physical Therapy CurrentSince Dec 6, 2021 Accepting new patients
PT 360 Inc Physical Therapy CurrentSince Oct 17, 2022 Accepting new patients
Rush-Select Holdings, LLC Physical Therapy PastSince Jun 1, 2022 Accepting new patients

Locations

80 Colchester Ave
Burlington, VT 05401
Phone (802) 657-7990

3 Champlain Cmns
#1
Saint Albans, VT 05478
Phone (802) 524-1155

120 Graham Way
Ste 110
Shelburne, VT 05482
Phone (802) 657-7990

426 Industrial Ave
Ste 190
Williston, VT 05495
Phone (802) 657-7990

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1636761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636761600000",
    "number": "1679239644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 E LAKESHORE DR APT 3",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CHAMPLAIN CMNS",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781563",
            "telephone_number": "802-524-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNISH",
        "first_name": "STEPHANIE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-13",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VT",
            "license": "040.0134338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2021; 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.