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Erin Miceli Adams, DPT

Individual provider Active NPI Physical Therapist · Williston, VT

NPI 1992934772 · NPPES record last updated Sep 24, 2012

Key facts

NPI
1992934772
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
0400050763 (VT)
Practice address
426 Industrial Ave
Suite 190
Williston, VT 05495-4448
Phone
(802) 860-4360
Fax
(802) 488-3160
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0400050763VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT 360 Inc Physical Therapist Current
since Sep 1, 2012		 Accepting new patients
No Diet Dietitian, LLC Past Accepting new patients

Locations

120 Graham Way
Ste 110
Shelburne, VT 05482
Phone (802) 657-7990

426 Industrial Ave
Ste 190
Williston, VT 05495
Phone (802) 657-7990

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0400050763 VT Yes

Addresses

Primary practice location

426 Industrial Ave
Suite 190
Williston, VT 05495-4448

Mailing address

426 Industrial Ave
Suite 190
Williston, VT 05495-4448
Phone (802) 860-4360

Other providers in Williston, VT

All providers in Williston, VT · Physical Therapist in Vermont

Sources for this page

Verify at the official NPI Registry.