Ottauquechee Physical Therapy Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OTTAUQUECHEE PHYSICAL THERAPY SERVICES, LLC

Practice address

442 Woodstock Rd Ste 3a
Woodstock, VT 05091-9794

Phone

(802) 457-3215

Fax

(802) 457-6118

NPI assigned

Aug 3, 2010

Last updated

Aug 3, 2010By 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

Mr. Peter Patrick Mayock, PT

Title

Owner

Phone

(802) 457-3215

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1912211863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 WOODSTOCK RD STE 3A",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "050919794",
            "telephone_number": "802-457-3215",
            "fax_number": "802-457-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 WOODSTOCK RD STE 3A",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "050919794",
            "telephone_number": "802-457-3215",
            "fax_number": "802-457-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTAUQUECHEE PHYSICAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "MAYOCK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-457-3215",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Audiology, Inc.
• Mountain Views Supervisory Union
• Rebecca B Nash, DPT
• Jane Lillian Olds, PT
• Ottauquechee Pharmacy Inc
• Joshua Paul Roylance, PT
• Margaret Roylance
• Angel Lynn Rubino, OTR
• Lorissa Segal, M.D.
• Deanna Sgambato

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.