NPIMap

Organization Active NPI

Excel Physical Therapy Inc

  • Physical Therapist
  • Milton, VT
National Provider Identifier
1982708012
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EXCEL PHYSICAL THERAPY INC
Practice address
184 Route 7 South
Milton, VT 05468-0776
Phone
(802) 893-7427
Fax
(802) 893-7429
NPI assigned
Sep 11, 2006
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Katherine J Bradley, PTNPI 1831209337
Title
Owner President
Phone
(802) 893-7427

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
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

184 Route 7 South
Milton, VT 05468-0776

Mailing address

PO Box 776
184 Route 7 South
Milton, VT 05468-0776
Phone (802) 893-7427

Other identifiers 2

IdentifierTypeStateIssuer
1006990MedicaidVT
00028711OtherVTBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071023000242 VT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244200095 Receives reassigned benefits from 7 practitioners
Practice locations: Milton, VT; Essex Junction, VT; Saint Albans, VT

National Provider Directory

National Provider Directory

Locations

3A David Dr
Essex Junction, VT 05452
Phone (802) 872-0141

184 US Route 7 S
Milton, VT 05468
Phone (802) 893-7427

140 S Main St
Saint Albans, VT 05478
Phone (802) 527-6295

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1982708012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776",
            "address_2": "184 ROUTE 7 SOUTH",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054680776",
            "telephone_number": "802-893-7427",
            "fax_number": "802-893-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 ROUTE 7 SOUTH",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054680776",
            "telephone_number": "802-893-7427",
            "fax_number": "802-893-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "802-893-7427",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006990",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00028711",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.