Stephen M Rambur, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0400003352 Issued in VT

Practice address

21 Essex Way
Suite 116
Essex Junction, VT 05452-3385

Phone

(802) 879-8200

Fax

(802) 879-9300

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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.

• Phoenix Physical Therapy PLLC

  • Physical Therapist
  • South Burlington, VT
  • NPI 1518909100
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1962448993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ESSEX WAY",
            "address_2": "SUITE 116",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523385",
            "telephone_number": "802-879-8200",
            "fax_number": "802-879-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ESSEX WAY",
            "address_2": "SUITE 116",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523385",
            "telephone_number": "802-879-8200",
            "fax_number": "802-879-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBUR",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400003352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11461589",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00068727",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TVHP",
            "identifier": "68727",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011584",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAHC",
            "identifier": "3352",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "398053",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marley Powden, LICSW
• Price Chopper Operating Co of Vermont Inc (Price Chopper Pharmacy)
• Kerri Prong, RPH
• William D Purdy, DDS
• Laura Racicot, PHARM D
• Sabino Ramirez, MA
• Ann Tello Ramsay, RN L.AC.
• Holliday Kane Rayfield, M.D.
• Robert A. Reimondi, M.A.
• Bradley Paul Reynolds, M.D.

• Physical Therapist in Essex Junction, VT
• Providers in Essex Junction, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.