Stacey J Ladd, PT
Individual provider Active NPI Physical Therapist · Milton, VT
NPI 1801906375 · NPPES record last updated Nov 30, 2007
Key facts
- NPI
- 1801906375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0400002594 (VT)
- Practice address
- 184 Route 7 South
Milton, VT 05468-0776 - Phone
- (802) 893-7427
- Fax
- (802) 893-7429
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Physical Therapy Inc | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0400002594 | VT | Yes |
Addresses
Primary practice location
184 Route 7 South
Milton, VT 05468-0776
Mailing address
PO Box 776
184 Route 7 South
Milton, VT 05468-0776
Phone (802) 893-7427
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4124858 | Other | MVP HEALTHCARE | |
| 00028864 | Other | VT | BLUE CROSS BLUE SHIELD |
| 1006935 | Medicaid | VT |
Other names
- Stacey J Olsen
Other providers in Milton, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2007. 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.