Margaret Mary Czabaj, PT, ATC

Individual provider Active NPI Physical Therapist · Williston, VT

NPI 1952533366 · NPPES record last updated Jan 14, 2011

Key facts

NPI
1952533366
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
040.0053995 (VT)
Practice address
30 Hawthorne St Ste 20
Williston, VT 05495-8212
Phone
(802) 876-6000
Fax
(802) 876-6003
NPI assigned
Aug 18, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
040.0053995VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Rehabgym Inc Physical Therapist Past
since Jul 1, 2003
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040.0053995 VT Yes

Addresses

Primary practice location

30 Hawthorne St Ste 20
Williston, VT 05495-8212

Mailing address

30 Hawthorne St Ste 20
Williston, VT 05495-8212
Phone (802) 876-6000

Other names

  • Miss Margaret Mary Mertzic Former name

Other providers in Williston, VT

All providers in Williston, VT · Physical Therapist in Vermont

Sources for this page

Verify at the official NPI Registry.