Margaret Mary Czabaj, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0053995 Issued in 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

Last updated

Jan 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Margaret Mary Mertzic Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• The Rehabgym Inc

  • Physical Therapist
  • Williston, VT
  • NPI 1750421772
  NPD (past)

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1952533366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HAWTHORNE ST STE 20",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958212",
            "telephone_number": "802-876-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HAWTHORNE ST STE 20",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958212",
            "telephone_number": "802-876-6000",
            "fax_number": "802-876-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZABAJ",
        "first_name": "MARGARET",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0053995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "MERTZIC",
            "middle_name": "MARY",
            "prefix": "MISS",
            "credential": "PT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nozomi Yamasaki Crowley
• Caitlin Carlson Cunningham, DPT
• Katherine Leigh Curler, BCBA
• Sarah Jean Curran, MS SLP/CCC
• Charles Robert Cyr, O.D.
• D. Douglas Shaw (Orthoteknics)
• Judith C Daly, LICSW
• David W. Beeson, O.D., P.C.
• Jill B Davis, M.A.
• Lori Kay Davis, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.