| Mrs Johanne B Richardson, PT | |
|
419a Vt Route 105, Newport, VT 05855-8531 | |
| (802) 334-2400 | |
| (802) 334-2550 |
| Full Name | Mrs Johanne B Richardson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 23 Years |
| Location | 419a Vt Route 105, Newport, Vermont |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356345847 | NPI | - | NPPES |
| 1008982 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 0400003488 (Vermont) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Freedom Physical Therapy, P.c | 2062512593 | 4 |
| Provider Name | Freedom Physical Therapy, P.c |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073717112 PECOS PAC ID: 2062512593 Enrollment ID: O20070712000211 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Johanne B Richardson, PT Po Box 626, Derby, VT 05829-0626 Ph: (802) 334-2400 | Mrs Johanne B Richardson, PT 419a Vt Route 105, Newport, VT 05855-8531 Ph: (802) 334-2400 |
Freedom Physical Therapy, P.c Physical Therapist Medicare: Medicare Enrolled Practice Location: 419a Vt Rt 105, Suite B, Newport, VT 05855 Phone: 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 |