Patrick Walsh
Individual provider Active NPI Physical Therapist · South Burlington, VT
NPI 1992510341 · NPPES record last updated Feb 12, 2025
Key facts
- NPI
- 1992510341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 040.0134902 (VT)
- Practice address
- 23 San Remo Dr # 100
South Burlington, VT 05403-6343 - Phone
- (802) 865-0010
- NPI assigned
- Feb 12, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Vermont College of Medicine, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dee Physical Therapy Services PLC
Practice addresses (Care Compare)
23 San Remo Dr
Suite 101
South Burlington, VT 05403-6354
Phone (802) 865-0010
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251120001423 | VT | Practitioner - Physical Therapist in Private Practice | 0547752230 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040.0134902 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dee Physical Therapy Services PLC | Physical Therapist | Current |
Accepting new patients |
Locations
166 Athletic Dr
Shelburne, VT 05482
Phone (802) 985-4440
23 San Remo Dr
Ste 101
South Burlington, VT 05403
Phone (802) 865-0010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040.0134902 | VT | Yes |
Addresses
Primary practice location
23 San Remo Dr # 100
South Burlington, VT 05403-6343
Mailing address
144 Larkin Way Apt 214
South Burlington, VT 05403-7418
Other providers in South Burlington, VT
- Katja A Von Sitas
- Julie Melissa Wade
- Megan Lea Waite
- Walgreen Co
- Carmen Walker
- Alexandra Waltien
- Nian Wan
- Alexandra Warshaw
- Heather Washburn
- Water & Stone Wellness, LLC
All providers in South Burlington, VT · Physical Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.