Active NPI
Olivia Parker, DPT
- Physical Therapist
- South Burlington, VT
National Provider Identifier
1740021203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040.0134740
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 040.0134740 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentum Physical Therapy PLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- S Burlington, VT
- NPI 1346318565
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.