| Green Mountain Rehabilitation & Sports Medicine Llc | |
|
90 Main St, Burlington, VT 05401-8419 | |
| (802) 861-6700 | |
| (802) 861-2143 |
| Full Name | Green Mountain Rehabilitation & Sports Medicine Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 90 Main St, Burlington, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689705139 | NPI | - | NPPES |
| 4149377 | Other | VT | MVP |
| 1386659100 | Other | VT | NPI |
| 5268301 | Other | VT | FAP |
| 6000628 | Other | VT | MVP |
| 9554226 | Other | VT | CIGNA |
| 00049991 | Other | VT | BCBS |
| 1007705 | Medicaid | VT | |
| 48616 | Other | VT | TVHP |
| 5273607 | Other | VT | FAP |
| 00048616 | Other | VT | BCBS |
| 1009289 | Medicaid | VT | |
| 1992711923 | Other | VT | NPI |
| 6245674 | Other | VT | CIGNA |
| 69511 | Other | VT | TVHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 040-0003248 (Vermont) | Primary |
| 2251X0800X | Physical Therapist - Orthopedic | 040-0003401 (Vermont) | Secondary |
| Provider Name | Andrew T Bowen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992711923 PECOS PAC ID: 6406873470 Enrollment ID: I20051028000509 |
| Provider Name | Eric Elsinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386659100 PECOS PAC ID: 7618997693 Enrollment ID: I20051206000413 |
| Provider Name | Christine A Hagan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023146834 PECOS PAC ID: 4385829373 Enrollment ID: I20110509000121 |
| Provider Name | Harrison J Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790154060 PECOS PAC ID: 8729380738 Enrollment ID: I20180628000951 |
| Provider Name | Ria Lian Conrad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467936047 PECOS PAC ID: 5991110124 Enrollment ID: I20210219001097 |
| Mailing Address | Practice Location Address |
|---|---|
| Green Mountain Rehabilitation & Sports Medicine Llc 90 Main St, Burlington, VT 05401-8419 Ph: (802) 861-6700 | Green Mountain Rehabilitation & Sports Medicine Llc 90 Main St, Burlington, VT 05401-8419 Ph: (802) 861-6700 |
Andrea June Mcbride, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2450 Fax: 802-847-3756 | |
Christine Ann Hagan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 90 Main St, Burlington, VT 05401 Phone: 802-861-6700 | |
Mrs. Jacqueline Mood Bolster, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11 Kilburn St, Burlington, VT 05401 Phone: 802-878-8352 | |
On Track, Llp Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Main St Ste 102a, Burlington, VT 05401 Phone: 802-865-2226 Fax: 802-865-9921 | |
Dr. Katherine Dwyer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 Phone: 802-863-9900 | |
Ms. Jenny M Breckenridge, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Shepardson 2, Burlington, VT 05401 Phone: 802-847-2450 | |
Tiffany Beier, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Pearl St, Burlington, VT 05401 Phone: 802-658-4200 |