Individual provider Active NPI

Candace Bennett, DPT

  • Physical Therapist
  • South Burlington, VT
National Provider Identifier
1972776417
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040-0003723 Issued in VT
Practice address
150 Kennedy Dr
South Burlington, VT 05403-6749
Phone
(802) 862-4670
Fax
(802) 862-4431
NPI assigned
Apr 4, 2008
Last updated
Jul 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3246 NH
Physical Therapist 225100000X 040-0003723 VT Primary

Addresses

Primary practice location

150 Kennedy Dr
South Burlington, VT 05403-6749

Mailing address

150 Kennedy Dr
South Burlington, VT 05403-6749
Phone (802) 862-4670

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3246NHMDPhysical Therapist
040-0003723VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Champlain Medical Associates PLLC PastSince Aug 1, 2012 Accepting new patients
Hoeppner Physical Therapy Limited Partnership Physical Therapist PastSince Apr 20, 2015 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1972776417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 KENNEDY DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036749",
            "telephone_number": "802-862-4670",
            "fax_number": "802-862-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 KENNEDY DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036749",
            "telephone_number": "802-862-4670",
            "fax_number": "802-862-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CANDACE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3246",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040-0003723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.