# PHYSICAL THERAPY SERVICES OF BRATTLEBORO INC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649260878
- **Authorized official:** LORI G HUGHES (OFFICE MANAGER)
- **Authorized official phone:** (802) 254-4699

## Contact information

- **Practice address:** 30 HARRIS PLACE, BRATTLEBORO, VT 05301
- **Practice address phone:** (802) 254-4699
- **Practice address fax:** (802) 257-1985
- **Mailing address:** 30 HARRIS PLACE, BRATTLEBORO, VT 05301
- **Mailing address phone:** (802) 254-4699
- **Mailing address fax:** (802) 257-1985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | — | NULL | Yes |
| 225400000X | Rehabilitation Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2005
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 200055371 | PRIVATE INSURANCE (MVP) | — |
| 01 | — | 48740 | PRIVATE INSURANCE (BCBS) | VT |
| 01 | — | 50Y305600VT01 | PRIVATE INSURANCE (BCBS) | NH |
| 01 | — | 7001366-001 | PRIVATE INSURANCE (CIGNA) | — |
| 05 | — | OVN2126 | — | VT |