PT 360 INC – Physical Therapist, NPI 1609183177
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PT 360 INC
120 Graham Way Ste 110
Shelburne, VT 054827217
Phone: (802) 985-9360
Fax: (802) 497-2602
Type: Location
10 Farrell St Ste 7
South Burlington, VT 054036371
Phone: (802) 448-9190
Fax: (802) 448-9188
Type: Location
426 INDUSTRIAL AVE
SUITE 190
WILLISTON, VT 054957904
Phone: (802) 860-4360
Fax: (802) 488-3160
Type: Mailing
80 Colchester Ave
Burlington, VT 054011417
Phone: (802) 657-7990
Fax: (802) 859-8935
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-01-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-07-31 (51 days away).
Enrollment records
1
Earliest due date
2026-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20110120000820 | O | Physical/Occupational Therapy Group In Private Practice | VT | 2026-07-31 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 05482)
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