NPIMap

Organization Active NPI

Family Physcial Therapy, Inc.

  • Physical Therapist
  • Waterbury, VT
National Provider Identifier
1699868091
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FAMILY PHYSCIAL THERAPY, INC.
Practice address
137 S Main St
Waterbury, VT 05676-1515
Phone
(802) 244-1140
Fax
(802) 244-6851
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jayne D. Collins, M.S., P.T., AT,C.NPI 1396837654
Title
Director
Phone
(802) 244-1140

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

137 S Main St
Waterbury, VT 05676-1515

Mailing address

137 S Main St
Waterbury, VT 05676-1515
Phone (802) 244-1140

Other identifiers 5

IdentifierTypeStateIssuer
VT0128OtherVTMVP PT PROVIDER OFFICE
CJ3697OtherVTMEDICARE RR
1010606MedicaidVT
4535416OtherVTCIGNA PT PROVIDER OFFICE
19023OtherVTBCBS PT PROVIDER OFFICE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699868091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 S MAIN ST",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761515",
            "telephone_number": "802-244-1140",
            "fax_number": "802-244-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S MAIN ST",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761515",
            "telephone_number": "802-244-1140",
            "fax_number": "802-244-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSCIAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "802-244-1140",
        "authorized_official_credential": "M.S., P.T.,  AT,C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP  PT PROVIDER OFFICE",
            "identifier": "VT0128",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CJ3697",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010606",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA  PT PROVIDER OFFICE",
            "identifier": "4535416",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  PT PROVIDER OFFICE",
            "identifier": "19023",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.