Unknown Individual – Family Medicine Physician, NPI 1902870975
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Unknown Individual
600, Blair Park Road, Tafts Corner, Williston, Chittenden County, Vermont, 05495, United States
SUITE 190
WILLISTON, VT 054957586
Phone: (802) 288-1145
Fax: (802) 872-0282
Type: Mailing
Long Trail Physical Therapy, 789, Pine Street, South end, Burlington, Chittenden County, Vermont, 05491, United States
BURLINGTON, VT 054014933
Phone: (802) 864-0693
Fax: (802) 860-6613
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 05495)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.