NPIMap

Organization Active NPI

Physical Therapy Center of Vermont LLC

Doing business as The Edge Physical Therapy

  • Physical Therapist
  • South Burlington, VT
National Provider Identifier
1700919818
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY CENTER OF VERMONT LLC
Doing business as
The Edge Physical Therapy
Practice address
142 W Twin Oaks Ter
South Burlington, VT 05403-7132
Phone
(802) 383-0676
Fax
(802) 383-0678
NPI assigned
Mar 14, 2007
Last updated
Mar 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Tracy Benedict, DPTNPI 1346358520
Title
Director of Physical Therapy
Phone
(802) 383-0676

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 Therapist 225100000X VT Primary

Addresses

Primary practice location

142 W Twin Oaks Ter
South Burlington, VT 05403-7132

Mailing address

142 W Twin Oaks Ter
South Burlington, VT 05403-7132
Phone (802) 383-0676

Other identifiers 1

IdentifierTypeStateIssuer
1007926MedicaidVT

Other names 1

  • The Edge Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051206000309 VT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2163442138 Receives reassigned benefits from 14 practitioners
Practice locations: South Burlington, VT

National Provider Directory

National Provider Directory

Locations

2 Gauthier Dr
Essex Junction, VT 05452
Phone (802) 879-7734

4 Gauthier Dr
Essex Junction, VT 05452
Phone (802) 857-0144

4 Morse Dr
Essex Junction, VT 05452
Phone (802) 857-0144

142 W Twin Oaks Ter
South Burlington, VT 05403
Phone (802) 383-0676

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1700919818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 W TWIN OAKS TER",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037132",
            "telephone_number": "802-383-0676",
            "fax_number": "802-383-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W TWIN OAKS TER",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037132",
            "telephone_number": "802-383-0676",
            "fax_number": "802-383-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CENTER OF VERMONT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "BENEDICT",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "802-383-0676",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007926",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Edge Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 30, 2026; 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.

Verify at the official NPI Registry.