Danielle M Sturgeon, PT

Individual provider Active NPI Physical Therapist · Essex Junction, VT

NPI 1780905547 · NPPES record last updated Sep 21, 2010

Key facts

NPI
1780905547
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
040.0067002 (VT)
Practice address
21 Carmichael St Ste 101
Essex Junction, VT 05452-3100
Phone
(802) 878-9572
Fax
(802) 878-9592
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
University of Vermont College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leclair Therapy Inc (17 clinicians)

Practice addresses (Care Compare)

21 Carmichael St
Essex Junction, VT 05452-3100
Phone (802) 878-9572

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100927000987 VT Practitioner - Physical Therapist in Private Practice 2062538101 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
040.0067002VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leclair Therapy, Inc. Physical Therapist Current
since Jun 21, 2010
Accepting new patients
Paquette Therapy Corporation Physical Therapist Past
since Jun 21, 2010
Accepting new patients

Locations

21 Carmichael St
Essex Junction, VT 05452
Phone (802) 878-9572

1 Towne Market Pl
Essex Junction, VT 05452
Phone (802) 655-1737

21 Carmichael St
Ste 101
Essex Junction, VT 05452
Phone (802) 878-9572

1 Towne Market Pl
Unit 33
Essex Junction, VT 05452
Phone (802) 878-9572

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040.0067002 VT Yes

Addresses

Primary practice location

21 Carmichael St Ste 101
Essex Junction, VT 05452-3100

Mailing address

21 Carmichael St Ste 101
Essex Junction, VT 05452-3100
Phone (802) 878-9572

Other identifiers

IdentifierTypeStateIssuer
1017969MedicaidVT

Other names

  • Miss Danielle M Waite Former name

Other providers in Essex Junction, VT

All providers in Essex Junction, VT · Physical Therapist in Vermont

Sources for this page

Verify at the official NPI Registry.