Provider Demographics
NPI:1487415915
Name:VERMONT VALLEY PHYSICAL THERAPY
Entity type:Organization
Organization Name:VERMONT VALLEY PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:802-430-3437
Mailing Address - Street 1:391 ROLLIN RD
Mailing Address - Street 2:
Mailing Address - City:N BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05257-9699
Mailing Address - Country:US
Mailing Address - Phone:802-440-0864
Mailing Address - Fax:
Practice Address - Street 1:345 ELM ST
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201-2265
Practice Address - Country:US
Practice Address - Phone:802-430-3437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy