Fletcher Allen Health Care,Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

668 Issued in VT

Legal business name

FLETCHER ALLEN HEALTH CARE,INC

Doing business as

Sports & Orthopedic Rehab Center

Practice address

192 Tilley Dr
South Burlington, VT 05403-4440

Phone

(802) 847-1882

NPI assigned

Nov 9, 2006

Last updated

Sep 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roger Deshaies

Title

Chief Financial Officer

Phone

(802) 847-5911

Specialties & licenses 1

Addresses

Other names 1

• SPORTS & ORTHOPEDIC REHAB CENTER Doing business as

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1699845412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1063",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054021063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 TILLEY DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034440",
            "telephone_number": "802-847-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLETCHER ALLEN HEALTH CARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "DESHAIES",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "802-847-5911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VT",
            "license": "668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPORTS & ORTHOPEDIC REHAB CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karly Bronwyn Fischer, DNP
• Steven R Fischer, DDS
• Thomas J Fischer, DMD
• Mairead Elizabeth Fitzgerald, PHARM.D.
• Morgan Flagg, LICSW
• Mary Flimlin, M.D.
• Tara Flor, D.C.
• Leah M Flore, FNP
• Martindell Monique Flowers
• Thomas JK Fontana, MS,LMHC, ADAC

• Durable Medical Equipment & Medical Supplies in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Durable Medical Equipment & Medical Supplies in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.