Michael John Mainolfi, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0400002520 Issued in VT

Practice address

5 Albert Cree Dr
Rutland, VT 05701

Phone

(802) 775-1300

Fax

(802) 773-9300

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vermont Sports Medicine CenterGroup PAC ID 2365334810, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vermont Sports Medicine Center

  • Occupational Therapist
  • Rutland, VT
  • NPI 1730103300

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Vermont Sports Medicine Center

  • Prosthetic/Orthotic Supplier
  • Rutland, VT
  • NPI 1689832594
  NPD

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230854400000",
    "number": "1881605822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ALBERT CREE DR",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "05701",
            "telephone_number": "802-775-1300",
            "fax_number": "802-773-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ALBERT CREE DR",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "05701",
            "telephone_number": "802-775-1300",
            "fax_number": "802-773-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINOLFI",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2009-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400002520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "43430",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD VT",
            "identifier": "00028306",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7026628",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN2146",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Edward Maddox
• Mary Ruth Maglione, MACP,LADC
• Cesar H Magsino Jr., MD
• Peter Michael Mahar, MS, LCMHC
• Benjamin Joseph Mahoney, DNP, APRN
• Lisa Ann Major, PA-C
• Barbara Chamberlin Mallen, M.S., CCC-SLP
• Fredda E Mangel, MA
• Maple Tree General Surgery
• Marble Valley Healthworks, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.