| Prospect Rehabilitation, Pc | |
|
7254 Main Street, Manchester Center, VT 05255 | |
| (802) 362-1151 | |
| (802) 362-7046 |
| Full Name | Prospect Rehabilitation, Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 7254 Main Street, Manchester Center, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598785107 | NPI | - | NPPES |
| OVN3061 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 040-0003139 (Vermont) | Primary |
| Provider Name | John M Diblasio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164456695 PECOS PAC ID: 2365423639 Enrollment ID: I20060504000728 |
| Provider Name | Lindsay L White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033662663 PECOS PAC ID: 6406144955 Enrollment ID: I20161017000340 |
| Provider Name | Nathan T Wood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336596352 PECOS PAC ID: 2264722271 Enrollment ID: I20181012000083 |
| Provider Name | Christopher D Ludwig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780010983 PECOS PAC ID: 6204164361 Enrollment ID: I20190827003255 |
| Provider Name | Mary L. Hultgren |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639566268 PECOS PAC ID: 2668836842 Enrollment ID: I20230907001583 |
| Mailing Address | Practice Location Address |
|---|---|
| Prospect Rehabilitation, Pc Po Box 1365, Manchester Center, VT 05255 Ph: (802) 362-1151 | Prospect Rehabilitation, Pc 7254 Main Street, Manchester Center, VT 05255 Ph: (802) 362-1151 |
Karol Sowulewski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5468 Main St, Manchester Health Services Inc, Manchester Center, VT 05255 Phone: 802-362-2126 Fax: 802-362-4884 | |
Margaret B Mole, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 231 Bonnet St, Manchester Center, VT 05255 Phone: 802-236-8469 Fax: 802-824-4175 | |
Mr. John Michael Diblasio, PT, DPT, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7254 Main Street, Manchester Center, VT 05255 Phone: 802-362-1151 Fax: 802-362-7046 | |
Margaret B Mole, Plc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7252 Main St, Manchester Center, VT 05255 Phone: 802-362-1334 | |
Kewi Health Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 5468 Main St, Manchester Center, VT 05255 Phone: 802-362-1334 | |
Pamela Louise Fletcher Maine, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5468 Main St, Manchester Center, VT 05255 Phone: 802-362-2126 Fax: 802-362-4884 | |
Dr. Nicholas Charles Voci, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5468 Main St, Manchester Center, VT 05255 Phone: 802-362-1334 |