Kids Rehab Gym

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0103370 Issued in VT

Legal business name

KIDS REHAB GYM

Practice address

905 Roosevelt Hwy # 115
Colchester, VT 05446-4475

Phone

(802) 860-3600

NPI assigned

Jul 31, 2014

Last updated

Jul 31, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon Gutwin

Title

Owner

Phone

(802) 861-3600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1891103016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 ROOSEVELT HIGHWAY #115",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "05446",
            "telephone_number": "802-860-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ROOSEVELT HWY # 115",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464475",
            "telephone_number": "802-860-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS REHAB GYM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "GUTWIN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-861-3600"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0103370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Rose Kavouksorian, P.A. - C
• Alexandra Kaye, RN
• Danica Jade Kennedy
• Robyn Kervick, PHD
• Deborah Faye Ketcham, LCMHC
• Kids Rehabgym Inc.
• Wynne M Kirschbaum, PA
• Barbara Sue Kleinman, LICSW
• Meaghan E Knakal, APRN
• Roger Chaloner Knakal, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.