| Freedom Physical Therapy, P.c | |
|
419a Vt Rt 105, Suite B, Newport, VT 05855 | |
| (802) 766-4799 | |
| Not Available |
| Full Name | Freedom Physical Therapy, P.c |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 419a Vt Rt 105, Newport, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073717112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 0400003488 (Vermont) | Primary |
| Provider Name | Paula Matthews Austin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225193873 PECOS PAC ID: 0941256317 Enrollment ID: I20050329000656 |
| Provider Name | Johanne B Richardson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356345847 PECOS PAC ID: 7911099072 Enrollment ID: I20070821000052 |
| Provider Name | Shawn Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912350158 PECOS PAC ID: 2365776309 Enrollment ID: I20190626000631 |
| Provider Name | Myra Gene Ann Degre |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386255925 PECOS PAC ID: 1557773918 Enrollment ID: I20201209002300 |
| Provider Name | Stacey Brooks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750809398 PECOS PAC ID: 5395091607 Enrollment ID: I20240223002684 |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Physical Therapy, P.c Po Box 626, Derby, VT 05829-0626 Ph: (802) 334-2400 | Freedom Physical Therapy, P.c 419a Vt Rt 105, Suite B, Newport, VT 05855 Ph: (802) 766-4799 |
Mr. Seth L Starr, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 417 Vt Route 105, Newport, VT 05855 Phone: 802-334-2400 | |
Sarah Hardin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 81 Medical Village Dr, Suite 3, Newport, VT 05855 Phone: 802-334-3260 Fax: 802-334-4162 | |
Lysanne Ouimet, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 81 Medical Village Dr, Suite 3, Newport, VT 05855 Phone: 802-334-3260 | |
Ms. Morgan Provost, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Lakemont Rd, Newport, VT 05855 Phone: 802-334-8558 Fax: 802-334-8559 | |
Corey Leblanc, PA-C Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2559 Glen Rd, Newport, VT 05855 Phone: 802-334-3364 | |
Amy Barrup, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 81 Medical Village Dr Ste 3, Newport, VT 05855 Phone: 802-334-3260 Fax: 802-334-4162 |