Unknown Individual – Physical Therapist, NPI 1063522639

Unknown Individual is a healthcare provider. based in Milton, Vermont. specializing in Physical Therapist. They hold a License No. 0400003497 (VT). The NPI Number for Unknown Individual is 1063522639

Main info

Organization
Inactive
24 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1063522639
Phone
(802) 893-7427
Address
PO BOX 776
Deactivation Date
28 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
8028570144
Graduation Year
2002 (24 years ago)
PAC ID
1951371798
Group Practice PAC ID
2163442138
Professional Enrollment ID
I20040728001434
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 776, Arnold Street, Ballston Spa, Town of Milton, Saratoga County, New York, 12020, United States

    184 ROUTE 7 SOUTH

    MILTON, VT 054680776

    Phone: (802) 893-7427

    Fax: (802) 893-7429

    Type: Mailing

  • 184, Route 7, Milton Station, Rural Municipality of Miltonvale Park, Queens County, Prince Edward Island, C1E 1Z4, Canada

    MILTON, VT 054680776

    Phone: (802) 893-7427

    Fax: (802) 893-7429

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes56634$0
97140Therapy procedure using manual technique, each 15 minutes22624$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12623$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care6413$0
97161Evaluation for physical therapy, typically 20 minutes1919$0
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Insurance plans in this area (ZIP 05468)

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Provider's Procedures

Unknown Individual performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYVT97001Physical therapy evaluation2926
PHYSICAL THERAPYVT97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes56530
PHYSICAL THERAPYVT97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes11617

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163442138View full group profile
NameSpecialtyState
-OR
-VT
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeNY
-VT
-VT
Physical Therapist In Private PracticeVT

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1063522639.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Milton, Vermont?
If you are local to Milton, Vermont, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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