Organization Active NPI

Rooted Wellness PLC

Doing business as Rooted Movement Rehab

  • Chiropractor
  • Richmond, VT
National Provider Identifier
1922888668
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROOTED WELLNESS PLC
Doing business as
Rooted Movement Rehab
Practice address
1070 W Main St Ste 7
Richmond, VT 05477-9850
Phone
(802) 399-5578
NPI assigned
Oct 2, 2023
Last updated
Nov 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Logan Sangrey, DCNPI 1194305904
Title
Owner
Phone
(802) 399-5578

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1070 W Main St Ste 7
Richmond, VT 05477-9850

Mailing address

27 Read Rd
Williston, VT 05495-8101

Other names 1

  • Rooted Movement Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

1070 W Main St
Ste 7
Richmond, VT 05477
Phone (802) 399-5578

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1922888668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 READ RD",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 W MAIN ST STE 7",
            "city": "RICHMOND",
            "state": "VT",
            "postal_code": "054779850",
            "telephone_number": "802-399-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED WELLNESS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "SANGREY",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-399-5578",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rooted Movement Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rooted Movement Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.