NPIMap

Organization Active NPI

Long Trail on the Falls Physical Therapy PC

  • Physical Therapist
  • Vergennes, VT
National Provider Identifier
1982902391
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040-0003304 Issued in VT
Legal business name
LONG TRAIL ON THE FALLS PHYSICAL THERAPY PC
Practice address
300 Main St
Vergennes, VT 05491-1035
Phone
(802) 877-6991
Fax
(802) 877-6993
NPI assigned
Mar 9, 2011
Last updated
Mar 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Mr. Michael Dipalermo, P.T.NPI 1043265135
Title
President
Phone
(802) 877-6991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040-0003304 VT Primary

Addresses

Primary practice location

300 Main St
Vergennes, VT 05491-1035

Mailing address

300 Main St
Vergennes, VT 05491-1035
Phone (802) 877-6991

Other identifiers 1

IdentifierTypeStateIssuer
1007049MedicaidVT

National Provider Directory

National Provider Directory

Locations

75 Meigs Rd
#1
Vergennes, VT 05491
Phone (802) 877-6991

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1982902391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "VERGENNES",
            "state": "VT",
            "postal_code": "054911035",
            "telephone_number": "802-877-6991",
            "fax_number": "802-877-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "VERGENNES",
            "state": "VT",
            "postal_code": "054911035",
            "telephone_number": "802-877-6991",
            "fax_number": "802-877-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG TRAIL ON THE FALLS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "DIPALERMO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-877-6991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040-0003304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007049",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vergennes, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.