# PHYSIALIGN LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** PhysiAlign
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093378168
- **Authorized official:** DR. LAUREN WEDAM PT, DPT (AUTHORIZED AGENT)
- **Authorized official phone:** (802) 318-0581

## Contact information

- **Practice address:** 1233 SHELBURNE RD STE 190, SOUTH BURLINGTON, VT 05403-7733
- **Practice address phone:** (802) 318-0581
- **Practice address fax:** (802) 448-5951
- **Mailing address:** PO BOX 64823, BURLINGTON, VT 05406-4823
- **Mailing address phone:** (802) 318-0581
- **Mailing address fax:** (802) 448-5951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | — | NULL | — |
| 2251G0304X | Geriatric Physical Therapist | — | — | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2019
- **Last updated:** 12/26/2019