| Vineyard Complementary Medicine, Inc | |
|
238 Edgartown Vineyard Haven Road, Unit 1, Edgartown, MA 02539-6932 | |
| (508) 693-3800 | |
| (508) 693-7473 |
| Full Name | Vineyard Complementary Medicine, Inc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 238 Edgartown Vineyard Haven Road, Edgartown, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053490896 | NPI | - | NPPES |
| Y61445 | Other | MA | BCBS OF MA |
| AA52541 | Other | HPHC |
| Provider Name | Susan A Sanford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104905934 PECOS PAC ID: 1759324999 Enrollment ID: I20050610000214 |
| Provider Name | Elizabeth Ann Zeller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861024143 PECOS PAC ID: 4183051295 Enrollment ID: I20200303000867 |
| Provider Name | Madison L Horner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215521836 PECOS PAC ID: 7719396969 Enrollment ID: I20210429001937 |
| Provider Name | Lauren Vukota |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720746969 PECOS PAC ID: 5294120986 Enrollment ID: I20230913003311 |
| Provider Name | Camille Snyder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720299878 PECOS PAC ID: 6709924319 Enrollment ID: I20240522000260 |
| Provider Name | Carley Jordan Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548001787 PECOS PAC ID: 3274077011 Enrollment ID: I20240703001104 |
| Provider Name | Elizabeth Owens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841030509 PECOS PAC ID: 0244775500 Enrollment ID: I20240710003916 |
| Provider Name | Chantal M Sayegh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164204459 PECOS PAC ID: 1557896776 Enrollment ID: I20241125004380 |
| Mailing Address | Practice Location Address |
|---|---|
| Vineyard Complementary Medicine, Inc Po Box 1760, Edgartown, MA 02539-1760 Ph: (508) 693-3800 | Vineyard Complementary Medicine, Inc 238 Edgartown Vineyard Haven Road, Unit 1, Edgartown, MA 02539-6932 Ph: (508) 693-3800 |