Organization
GREEN MOUNTAIN REHABILITATION & SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ELSINGER MSPT (MEMBER)
(802) 861-6700
Entity
Organization
Contact information
Practice address
90 MAIN ST, BURLINGTON, VT 05401-8419
(802) 861-6700
(802) 861-2143
Mailing address
90 MAIN ST, BURLINGTON, VT 05401-8419
(802) 861-6700
(802) 861-2143
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
040-0003248
VT
2251X0800X
Orthopedic Physical Therapist
040-0003401
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00048616
BCBS
VT
01
—
00049991
BCBS
VT
05
—
1007705
—
VT
05
—
1009289
—
VT
01
—
1386659100
NPI
VT
01
—
1992711923
NPI
VT
01
—
4149377
MVP
VT
01
—
48616
TVHP
VT
01
—
5268301
FAP
VT
01
—
5273607
FAP
VT
01
—
6000628
MVP
VT
01
—
6245674
CIGNA
VT
01
—
69511
TVHP
VT
01
—
9554226
CIGNA
VT
Enumeration date
03/08/2007
Last updated
11/08/2012
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