Jordan Bedard, OTR/L
Individual provider Active NPI Occupational Therapist · Middlebury, VT
NPI 1780478255 · NPPES record last updated Apr 8, 2025
Key facts
- NPI
- 1780478255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 072.0134102 (VT)
- Practice address
- 115 Porter Dr
Middlebury, VT 05753-8629 - Phone
- (802) 388-4777
- NPI assigned
- Apr 8, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072.0134102 | VT | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 072.0134102 | VT | Yes |
Addresses
Primary practice location
115 Porter Dr
Middlebury, VT 05753-8629
Mailing address
19 Franklin St Apt a
Brandon, VT 05733-1207
Other providers in Middlebury, VT
- Marion D Bauer
- Benjamin I Bearnot
- John James Beattie
- Barbara Conger Beatty
- Thomas E Beauregard
- Betsy Beecher
- Donna Susan Belcher
- Erica Lynn Belida
- Monica Benjamin
- Regina Benko
All providers in Middlebury, VT · Occupational 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 Apr 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.