Heather L Gardner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0072092 Issued in VT

Practice address

4974 Mountain Rd
The Sports and Rehab Clinic
Stowe, VT 05672-4885

Phone

(802) 253-5694

Fax

(866) 633-6132

NPI assigned

Jul 20, 2011

Last updated

Aug 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

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

Pinnacle Physical Therapy, IncGroup PAC ID 8628168317, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Pinnacle Physical Therapy, Inc

  • Physical Therapist
  • Stowe, VT
  • NPI 1912053554
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1790073054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4974 MOUNTAIN RD",
            "address_2": "THE SPORTS AND REHAB CLINIC",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056724885",
            "telephone_number": "802-253-5694",
            "fax_number": "866-633-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4974 MOUNTAIN RD",
            "address_2": "THE SPORTS AND REHAB CLINIC",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056724885",
            "telephone_number": "802-253-5694",
            "fax_number": "866-633-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0072092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teia B Foti, NP
• Brittany Marie Fournier, MSN, FNP-C
• Kevin Fox, PTA
• Danit A Fried, LCMHC
• Front Four Physical Therapy PLC
• Keith Geissler, PT
• J Arthur Gleiner, MD
• Green Mountain Breast Care Center PLC
• Green Mountain Prosthetics &
• Rilke Jean Greenmun, DPT

• Physical Therapist in Stowe, VT
• Providers in Stowe, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.