Wilma Guban, M.S P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040-0003617 Issued in VT

Practice address

9 Haywood Ave
Rutland, VT 05701-4832

Phone

(802) 747-6433

NPI assigned

Apr 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891912101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MANSFIELD PL",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014149",
            "telephone_number": "802-773-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HAYWOOD AVE",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014832",
            "telephone_number": "802-747-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBAN",
        "first_name": "WILMA",
        "name_prefix": "Mrs.",
        "credential": "M.S P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040-0003617",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "15440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Anthony Gregory, DDS
• Todd David Gregory, M.D.
• Anna Rebecca Gries, B.A, MA, LPC, LCMHC
• Karen Grimm, LCMHC
• GRS
• Sandra Georgina Guerrero-Combatti, PMHNP
• Michelle A Guiliano-King, DPM
• David Gundersen, MSW
• Steven William Hale Jr.
• Caitlyn Hall, PT, DPT

• 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 Jul 8, 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.