Unknown Individual – Orthopedic Physical Therapist, NPI 1689713406

Unknown Individual is a healthcare provider. based in Burlington, Vermont. specializing in Orthopedic Physical Therapist. They hold a License No. 040-0003024 (VT). The NPI Number for Unknown Individual is 1689713406

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1689713406
Phone
(802) 864-9642
Address
20 KILBURN ST
Deactivation Date
17 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028649642
Graduation Year
1995 (31 years ago)
PAC ID
8921100132
Group Practice PAC ID
8426150624
Professional Enrollment ID
I20070219000338
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

Provider Addresses for Unknown Individual

  • 20 KILBURN ST

    BURLINGTON, VT 054014720

    Phone: (802) 864-9642

    Fax: (802) 864-9643

    Mailing address matches the actual address.

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.

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Medicare Enrollment & Revalidation

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

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

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Medicare Utilization (FFS)

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

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05401)

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Provider's Procedures

Unknown Individual performs procedures in Orthopedic Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYVT97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19722
PHYSICAL THERAPYVT97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes9817

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1689713406 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data 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 Orthopedic Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Burlington, Vermont. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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