| Vermont Sports Medicine Center | |
|
5 Albert Cree Dr, Rutland, VT 05701 | |
| (802) 775-1300 | |
| (802) 773-9300 |
| Full Name | Vermont Sports Medicine Center |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 5 Albert Cree Dr, Rutland, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730103300 | NPI | - | NPPES |
| 4471 | Other | BLUE CROSS OF VT | |
| OVN2225 | Medicaid | VT | |
| 9690007 | Other | CIGNA | |
| 50922 | Other | MVP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Maureen Corey Gibeault |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447261557 PECOS PAC ID: 7416949433 Enrollment ID: I20060504000280 |
| Provider Name | Michael J Mainolfi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881605822 PECOS PAC ID: 0042221095 Enrollment ID: I20060505000473 |
| Provider Name | Jennifer Nesmith Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154417681 PECOS PAC ID: 3476463340 Enrollment ID: I20061206000262 |
| Provider Name | Rebecca Turner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972561298 PECOS PAC ID: 7113087156 Enrollment ID: I20081120000083 |
| Provider Name | Gina T Pezzetti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215263496 PECOS PAC ID: 7719169945 Enrollment ID: I20110309000987 |
| Provider Name | Erin Gordon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114941689 PECOS PAC ID: 8729257498 Enrollment ID: I20110815000347 |
| Provider Name | Kelly R Gaiotti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851583025 PECOS PAC ID: 2961650916 Enrollment ID: I20120917000225 |
| Provider Name | Gina T Courcelle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164689436 PECOS PAC ID: 5395818694 Enrollment ID: I20131023000294 |
| Provider Name | Shannon Mcbride |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356774590 PECOS PAC ID: 4183850886 Enrollment ID: I20131203000953 |
| Provider Name | Jacqueline P Frasier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861832495 PECOS PAC ID: 4385876440 Enrollment ID: I20140404000315 |
| Provider Name | Cassandra Y Circe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225404130 PECOS PAC ID: 9931415502 Enrollment ID: I20150827000048 |
| Provider Name | Ashleigh L Raub |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700339041 PECOS PAC ID: 7810285657 Enrollment ID: I20161012000194 |
| Provider Name | Mackenzie M Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265980254 PECOS PAC ID: 4385923713 Enrollment ID: I20161108000397 |
| Provider Name | Sarah A Thabet |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508205774 PECOS PAC ID: 4183852973 Enrollment ID: I20170717000232 |
| Provider Name | Elizabeth Baldwin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316346760 PECOS PAC ID: 4587988118 Enrollment ID: I20180418000748 |
| Provider Name | Sindy L Hassig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275964983 PECOS PAC ID: 9638420995 Enrollment ID: I20180925003729 |
| Provider Name | Laura Tuttle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902427636 PECOS PAC ID: 9234545880 Enrollment ID: I20210308000573 |
| Provider Name | Eric Carpenter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558724633 PECOS PAC ID: 5890185870 Enrollment ID: I20211206002537 |
| Provider Name | Caroline Mckeighan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366102857 PECOS PAC ID: 7911399373 Enrollment ID: I20220114000113 |
| Provider Name | Marcus Kurek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346423886 PECOS PAC ID: 1951781848 Enrollment ID: I20220709000114 |
| Provider Name | Elizabeth Moulton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548815954 PECOS PAC ID: 7618209206 Enrollment ID: I20221017001949 |
| Provider Name | Ali Mitchell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760611651 PECOS PAC ID: 9638548316 Enrollment ID: I20221220002035 |
| Mailing Address | Practice Location Address |
|---|---|
| Vermont Sports Medicine Center 5 Albert Cree Dr, Rutland, VT 05701 Ph: (802) 775-1300 | Vermont Sports Medicine Center 5 Albert Cree Dr, Rutland, VT 05701 Ph: (802) 775-1300 |
Meghan Mcnierney, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Haywood Ave, Rutland, VT 05701 Phone: 802-775-0007 | |
Mackenzie Kristen Ormiston, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 46 Nichols St, Rutland, VT 05701 Phone: 802-775-2941 | |
Anne Quinlan, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 46 Nichols St, Rutland, VT 05701 Phone: 508-450-8022 | |
Mary Yancey, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 88 Park St, Rutland, VT 05701 Phone: 802-775-7612 | |
Mr. Craig Edward Maddox, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 46 Nichols St, Rutland, VT 05701 Phone: 802-775-2941 | |
Carolyn Elizabeth Kane, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Haywood Ave, Rutland, VT 05701 Phone: 802-775-0007 | |
Joseph Michael Flynn, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Haywood Ave, Rutland, VT 05701 Phone: 802-747-6428 |