Individual provider Active NPI

Olivia Parker, DPT

  • Physical Therapist
  • South Burlington, VT
National Provider Identifier
1740021203
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040.0134740 Issued in VT
Practice address
10 Farrell St Ste 7
South Burlington, VT 05403-6371
Phone
(802) 864-6262
Fax
(802) 864-6252
NPI assigned
Jun 6, 2024
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040.0134740 VT Primary

Addresses

Primary practice location

10 Farrell St Ste 7
South Burlington, VT 05403-6371

Mailing address

664 Zephyr Rd Unit 214
Williston, VT 05495-1733
Phone (860) 204-2008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806002621 VT Practitioner - Physical Therapist in Private Practice 5597202705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Momentum Physical Therapy PLCGroup PAC ID 5890795348, 13 clinicians

Practice addresses (Care Compare)

10 Farrell St
Suite 7
S Burlington, VT 05403-6371
Phone (802) 864-6262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040.0134740VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Physical Therapy PLC Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients

Locations

10 Farrell St
Ste 7
South Burlington, VT 05403
Phone (802) 318-5564

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1740021203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 ZEPHYR RD UNIT 214",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054951733",
            "telephone_number": "860-204-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FARRELL ST STE 7",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036371",
            "telephone_number": "802-864-6262",
            "fax_number": "802-864-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0134740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.