Tim Dix, DPT | |
120 Graham Way Ste 110, Shelburne, VT 05482-7217 | |
(802) 985-9360 | |
Not Available |
Full Name | Tim Dix |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 120 Graham Way Ste 110, Shelburne, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891550174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 040.0134708 (Vermont) | Primary |
Provider Name | Pt 360 Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609183177 PECOS PAC ID: 0749469906 Enrollment ID: O20110120000820 |
Mailing Address | Practice Location Address |
---|---|
Tim Dix, DPT 112 Pine St Apt 3p, Burlington, VT 05401-8435 Ph: (609) 937-9805 | Tim Dix, DPT 120 Graham Way Ste 110, Shelburne, VT 05482-7217 Ph: (802) 985-9360 |
Michala Dean, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 166 Athletic Dr, Shelburne, VT 05482 Phone: 802-985-4440 | |
Kristine C Johnson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 Graham Way Ste 110, Shelburne, VT 05482 Phone: 802-657-7990 | |
Lorraine Farrell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 267 Executive Drive, Shelburne, VT 05482 Phone: 802-324-8455 | |
Mrs. Nicole Whitney Davignon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 166 Athletic Dr, Shelburne, VT 05482 Phone: 802-985-4440 Fax: 802-985-4445 | |
Lorraine M Farrell Pt Med Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 267 Executive Drive, Shelburne, VT 05482 Phone: 802-324-8455 | |
Rebecca Street, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 Graham Way Ste 110, Shelburne, VT 05482 Phone: 802-985-9360 | |
David Kirk Meier Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 166 Athletic Dr, Shelburne, VT 05482 Phone: 802-985-4440 |