Joan Gardner, PT AIDE

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

041-0000330 Issued in VT

Practice address

1127 North Ave
Burlington, VT 05401-2757

Phone

(802) 863-4243

NPI assigned

Dec 4, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Associates in Physical and Occupational Therapy

  • Physical Therapist
  • Williston, VT
  • NPI 1093897464
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1881752004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 BLAIR PARK RD",
            "address_2": "PO BOX 1064",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957435",
            "telephone_number": "802-879-0909",
            "fax_number": "802-879-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 NORTH AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054012757",
            "telephone_number": "802-863-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JOAN",
        "credential": "PT AIDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VT",
            "license": "041-0000330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Kumar Ganguly, MD
• Sree Susmitha Garapati, MD
• Amanda Daniella Garcia, ND
• Maddison Skylar Garcia, LAC
• Breton Gardner, BCBA
• Juli-Anne Gardner, MD
• Stephanie Elizabeth Gardner, NP
• Zechariah Symmes Gardner, MD
• Francesca Garofalo, MD
• Garth Garrison, MD

• All providers in Burlington, VT
• Physical Therapy Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.