Tim Dix, DPT
Individual provider Active NPI Physical Therapist · Shelburne, VT
NPI 1891550174 · NPPES record last updated Feb 16, 2024
Key facts
- NPI
- 1891550174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 040.0134708 (VT)
- Practice address
- 120 Graham Way Ste 110
Shelburne, VT 05482-7217 - Phone
- (802) 985-9360
- NPI assigned
- Feb 16, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Vermont College of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PT 360 Inc
Practice addresses (Care Compare)
80 Colchester Ave
Burlington, VT 05401-1417
Phone (802) 657-7990
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240404000877 | VT | Practitioner - Physical Therapist in Private Practice | 4880032275 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT 360 Inc | Physical Therapist | Current |
Accepting new patients |
Locations
80 Colchester Ave
Burlington, VT 05401
Phone (802) 657-7990
120 Graham Way
Ste 110
Shelburne, VT 05482
Phone (802) 657-7990
426 Industrial Ave
Ste 190
Williston, VT 05495
Phone (802) 657-7990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040.0134708 | VT | Yes |
Addresses
Primary practice location
120 Graham Way Ste 110
Shelburne, VT 05482-7217
Mailing address
112 Pine St Apt 3P
Burlington, VT 05401-8435
Phone (609) 937-9805
Other providers in Shelburne, VT
- Michala Dean
- Jessica Decker
- Trish Dempsey
- Dentistryone of Vermont PC
- Morgan Jayne Devoe
- Sophe B Dorsey
- Dr. Jennifer Peet
- Dr. John F. Guerriere PC
- Jamie Anne Edwards-Orr
- Tarek M El Assar
All providers in Shelburne, VT · Physical Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.