Mariah Archambault, DPT
Individual provider Active NPI Physical Therapist · Richmond, VT
NPI 1710708573 · NPPES record last updated Oct 23, 2024
Key facts
- NPI
- 1710708573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 040.0134795 (VT)
- Practice address
- 840 W Main St Apt 1
Richmond, VT 05477-9701 - Phone
- (802) 878-6656
- NPI assigned
- Oct 23, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Choice Physical Therapy LLC
Practice addresses (Care Compare)
840 W Main St
Apt 1
Richmond, VT 05477-9701
Phone (802) 878-6655
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241119001421 | VT | Practitioner - Physical Therapist in Private Practice | 7517492267 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040.0134795 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choice Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Rush-Select Holdings, LLC | Past |
Accepting new patients | |
| Rush-Select Holdings, LLC | Past |
Accepting new patients |
Locations
84 S Main St
Ste 1
Barre, VT 05641
84 S Main St
Barre, VT 05641
Phone (802) 476-3305
840 W Main St
Apt 1
Richmond, VT 05477
Phone (802) 878-6655
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040.0134795 | VT | Yes |
Addresses
Primary practice location
840 W Main St Apt 1
Richmond, VT 05477-9701
Mailing address
840 W Main St Apt 1
Richmond, VT 05477-9701
Other providers in Richmond, VT
- Laura May Ackley
- Adoria Senning, LLC
- Martha Elizabeth Alpaugh
- Robert Campbell Areson
- Autumn Barnett, Licsw, PLLC
- Autumn Barnett
- Kate Bentley
- Blooming Babies
All providers in Richmond, VT · Physical Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.