NPIMap

Organization Active NPI

Choice Physical Therapy of St Albans LLC

  • Orthopedic Physical Therapist
  • Saint Albans, VT
National Provider Identifier
1891749479
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
CHOICE PHYSICAL THERAPY OF ST ALBANS LLC
Practice address
3 Champlain CMNS
Suite 1
Saint Albans, VT 05478-1563
Phone
(802) 524-1155
Fax
(802) 524-2664
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Mrs. Leanne Marie Blanchard, PTNPI 1992778997
Title
Clinical Director
Phone
(802) 524-1155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

3 Champlain CMNS
Suite 1
Saint Albans, VT 05478-1563

Mailing address

3 Champlain CMNS
Suite 1
Saint Albans, VT 05478-1563
Phone (802) 524-1155

Other identifiers 2

IdentifierTypeStateIssuer
59086OtherVTBCBS GROUP NUMBER
OVN3037MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060525000153 VT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0345206462 Receives reassigned benefits from 7 practitioners
Practice locations: Saint Albans, VT

National Provider Directory

National Provider Directory
Tax ID family
Choice Physical Therapy of St Albans2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3 Champlain Cmns
#1
Saint Albans, VT 05478
Phone (802) 524-1155

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1891749479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CHAMPLAIN CMNS",
            "address_2": "SUITE 1",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781563",
            "telephone_number": "802-524-1155",
            "fax_number": "802-524-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CHAMPLAIN CMNS",
            "address_2": "SUITE 1",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781563",
            "telephone_number": "802-524-1155",
            "fax_number": "802-524-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE PHYSICAL THERAPY OF ST ALBANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "802-524-1155",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "59086",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN3037",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.