| Shawn Moore, | |
|
35 Bel Aire Dr, Newport, VT 05855-4953 | |
| (802) 334-2878 | |
| Not Available |
| Full Name | Shawn Moore |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 35 Bel Aire Dr, Newport, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912350158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (NU) | Primary |
| 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 |
| Provider Name | Fitness Elite Physical Therapy, LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1487370102 PECOS PAC ID: 3375912488 Enrollment ID: O20221213000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Moore, 35 Bel Aire Dr, Newport, VT 05855-4953 Ph: Not Available | Shawn Moore, 35 Bel Aire Dr, Newport, VT 05855-4953 Ph: (802) 334-2878 |
Gwenyth Gage, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 417 Vt Route 105, Newport, VT 05855 Phone: 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 |
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 |