Individual provider Active NPI

Aliza R. Lamphere, PT, DPT

  • Physical Therapist
  • Essex Junction, VT
National Provider Identifier
1821343732
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040.0085581 Issued in VT
Practice address
21 Carmichael St
Suite 101
Essex Junction, VT 05452-3186
Phone
(802) 878-8572
Fax
(802) 878-9592
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040.0085581 VT Primary

Addresses

Primary practice location

21 Carmichael St
Suite 101
Essex Junction, VT 05452-3186

Mailing address

21 Carmichael St
Suite 101
Essex Junction, VT 05452-3186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121103000028 VT Practitioner - Physical Therapist in Private Practice 0749431575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Vermont College of Medicine, 2012
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040.0085581VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paquette Therapy Corporation Physical Therapist PastSince Aug 13, 2012 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1821343732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CARMICHAEL ST",
            "address_2": "SUITE 101",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CARMICHAEL ST",
            "address_2": "SUITE 101",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523186",
            "telephone_number": "802-878-8572",
            "fax_number": "802-878-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPHERE",
        "first_name": "ALIZA",
        "middle_name": "R.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0085581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.