HEATHER L GARDNER (DPT) – Physical Therapist, NPI 1790073054

HEATHER L GARDNER (DPT) is a healthcare provider. based in Stowe, Vermont. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 040.0072092 (VT). The NPI Number for HEATHER L GARDNER (DPT) is 1790073054

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER L GARDNER (DPT)
NPI
1790073054
Phone
(802) 253-5694
Address
4974 MOUNTAIN RD
Enumeration Date
20 July 2011
Last Update Date
15 August 2016

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
8022532273
Graduation Year
2010 (16 years ago)
PAC ID
2769641943
Group Practice PAC ID
8628168317
Professional Enrollment ID
I20150827001175
Address ID
VT056724775ST1878XRDXX304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

300 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VT

Provider Addresses for HEATHER L GARDNER (DPT)

  • 4974 MOUNTAIN RD

    THE SPORTS AND REHAB CLINIC

    STOWE, VT 056724885

    Phone: (802) 253-5694

    Fax: (866) 633-6132

    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.

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150827001175IPhysical Therapist In Private PracticeVTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,10460$0
97140Therapy procedure using manual technique, each 15 minutes74551$0
97032Application of electrical stimulation with therapist present, each 15 minutes15022$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes6511$0
97162Evaluation for physical therapy, typically 30 minutes3431$0
View full utilization report →

Insurance plans in this area (ZIP 05672)

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Provider's Procedures

HEATHER L GARDNER (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYVT97001Physical therapy evaluation5347

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: 8628168317View full group profile
NameSpecialtyState
-VT
Physical Therapist In Private PracticeRI
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeVT

Reviews

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Frequently asked questions

What unique ID ties claims to HEATHER L GARDNER (DPT)?
NPI 1790073054 is assigned to HEATHER L GARDNER (DPT) under the national enumeration system.
Does this profile mean HEATHER L GARDNER (DPT) is currently active?
Yes — HEATHER L GARDNER (DPT) appears active in the national provider directory.
What kind of provider is HEATHER L GARDNER (DPT)?
The page reflects Physical Therapist for HEATHER L GARDNER (DPT). Clinical services aligned with this taxonomy classification.
Where is HEATHER L GARDNER (DPT)'s primary listing?
We display Stowe, Vermont because that is what the record indicates for HEATHER L GARDNER (DPT).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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