Organization Active NPI

PT Plus, LLC

  • Physical Therapy Clinic/Center
  • Wilmington, VT
National Provider Identifier
1710327838
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
0400003390 Issued in VT
Legal business name
PT PLUS, LLC
Practice address
210 Route 9 E
Wilmington, VT 05363-9526
Phone
(802) 464-3151
Fax
(802) 464-3116
NPI assigned
Jul 3, 2013
Last updated
Aug 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Mrs. Clare E WatkinNPI 1477662591
Title
Physical Therapist
Phone
(802) 464-3151

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 Therapy Clinic/Center 261QP2000X 0400003390 VT Primary

Addresses

Primary practice location

210 Route 9 E
Wilmington, VT 05363-9526

Mailing address

PO Box 716
Wilmington, VT 05363-0716
Phone (802) 464-3151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131003000203 VT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1355575465 Receives reassigned benefits from 2 practitioners
Practice locations: Wilmington, VT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1710327838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 716",
            "city": "WILMINGTON",
            "state": "VT",
            "postal_code": "053630716",
            "telephone_number": "802-464-3151",
            "fax_number": "802-464-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ROUTE 9 E",
            "city": "WILMINGTON",
            "state": "VT",
            "postal_code": "053639526",
            "telephone_number": "802-464-3151",
            "fax_number": "802-464-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "WATKIN",
        "authorized_official_first_name": "CLARE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "802-464-3151",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VT",
            "license": "0400003390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.