| Pt 360 Inc | |
|
426 Industrial Ave, Suite 190, Williston, VT 05495-4448 | |
| (802) 860-4360 | |
| (802) 488-3160 |
| Full Name | Pt 360 Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 426 Industrial Ave, Williston, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609183177 | NPI | - | NPPES |
| 1018137 | Medicaid | VT | |
| DT6174 | Other | VI | RR MEDICARE |
| Provider Name | Kristine C Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114093572 PECOS PAC ID: 5193615870 Enrollment ID: I20040317000362 |
| Provider Name | Deborah D Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528128568 PECOS PAC ID: 0547245557 Enrollment ID: I20040623000722 |
| Provider Name | James R Cummings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164482154 PECOS PAC ID: 2365452133 Enrollment ID: I20060425000534 |
| Provider Name | Amy Kinneston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881767796 PECOS PAC ID: 1759444631 Enrollment ID: I20090121000061 |
| Provider Name | Laura B Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629295415 PECOS PAC ID: 5597822700 Enrollment ID: I20090316000037 |
| Provider Name | Erin M Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992934772 PECOS PAC ID: 2860531399 Enrollment ID: I20091123000465 |
| Provider Name | Maria E Thibault |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164492161 PECOS PAC ID: 5395884290 Enrollment ID: I20091207000396 |
| Provider Name | Nina E Dinan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487904926 PECOS PAC ID: 4082865258 Enrollment ID: I20121116000026 |
| Provider Name | Rebecca L Street |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427481829 PECOS PAC ID: 9638304371 Enrollment ID: I20131105000164 |
| Provider Name | Andrew M Eames |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104237726 PECOS PAC ID: 4486874229 Enrollment ID: I20140930001257 |
| Provider Name | Amy N Sheridan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427196377 PECOS PAC ID: 3870690696 Enrollment ID: I20160624000290 |
| Provider Name | Wendy D King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356894372 PECOS PAC ID: 8527354356 Enrollment ID: I20160906000072 |
| Provider Name | Hillary Keating |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497126429 PECOS PAC ID: 5092012302 Enrollment ID: I20180227001728 |
| Provider Name | Jangkyu Choi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407370943 PECOS PAC ID: 8022379403 Enrollment ID: I20180227002193 |
| Provider Name | Sara Costa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851349724 PECOS PAC ID: 5092738559 Enrollment ID: I20190725001126 |
| Provider Name | Charles A Carbonar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790332013 PECOS PAC ID: 1456682160 Enrollment ID: I20191010002518 |
| Provider Name | Jennifer L Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902287030 PECOS PAC ID: 8820301419 Enrollment ID: I20191112001761 |
| Provider Name | Kramer A Jakubek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528499597 PECOS PAC ID: 3375772262 Enrollment ID: I20191218000749 |
| Provider Name | Rebecca Meryman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760006340 PECOS PAC ID: 1658793229 Enrollment ID: I20200629000373 |
| Provider Name | Kelsey Barklund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982208302 PECOS PAC ID: 2567874423 Enrollment ID: I20201217000573 |
| Provider Name | Katherine Weaver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003455148 PECOS PAC ID: 8729415831 Enrollment ID: I20201217002120 |
| Provider Name | Crystal Marie Bryce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427641489 PECOS PAC ID: 0648686543 Enrollment ID: I20210301001282 |
| Provider Name | Paige Glaser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548760911 PECOS PAC ID: 2961732441 Enrollment ID: I20210518000197 |
| Provider Name | Duncan Timothy Secor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518470822 PECOS PAC ID: 9830456599 Enrollment ID: I20210723000363 |
| Provider Name | Stephanie Burnish |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679239644 PECOS PAC ID: 7315337573 Enrollment ID: I20211201002181 |
| Provider Name | Patrick Dennis Mcgrath |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609525120 PECOS PAC ID: 7214324151 Enrollment ID: I20220425001142 |
| Provider Name | Sara Daly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013682095 PECOS PAC ID: 7810384328 Enrollment ID: I20220503000498 |
| Provider Name | Michelle S Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164738878 PECOS PAC ID: 1850586413 Enrollment ID: I20230414001338 |
| Provider Name | Emma Sturm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346852316 PECOS PAC ID: 9133535453 Enrollment ID: I20230504002209 |
| Provider Name | Jurdan Ashton Mossburg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124886999 PECOS PAC ID: 5991142168 Enrollment ID: I20240322003514 |
| Provider Name | Tim Dix |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891550174 PECOS PAC ID: 4880032275 Enrollment ID: I20240404000877 |
| Provider Name | Jessica Babcock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053055921 PECOS PAC ID: 6406231620 Enrollment ID: I20240919000558 |
| Provider Name | Lorraine Nejaime |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225413859 PECOS PAC ID: 4486195104 Enrollment ID: I20240923000451 |
| Mailing Address | Practice Location Address |
|---|---|
| Pt 360 Inc 426 Industrial Ave, Suite 190, Williston, VT 05495-7904 Ph: (802) 860-4360 | Pt 360 Inc 426 Industrial Ave, Suite 190, Williston, VT 05495-4448 Ph: (802) 860-4360 |
Wellfound Physical Therapy And Fitness, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1193 S Brownell Rd Ste 20, Williston, VT 05495 Phone: 802-343-6279 | |
Maria C Nolan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 Cornerstone Dr, Williston, VT 05495 Phone: 802-878-8330 Fax: 802-878-8344 | |
Paula Larose, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Hawthorne St, Williston, VT 05495 Phone: 802-876-6000 | |
Zafir George Bludevich, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Wellness Dr, Williston, VT 05495 Phone: 802-860-1358 | |
Benjamin M Corcoran, M.S.,P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 Wellness Dr, Williston, VT 05495 Phone: 802-860-1358 Fax: 802-860-1093 | |
Lillian Devereux, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 289 Hurricane Ln Ste 102, Williston, VT 05495 Phone: 802-655-7575 | |
Maryclaire Mcgovern, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 62 Merchants Row Ste 202, Williston, VT 05495 Phone: 802-857-5407 |