Maria Erb Thibault in Burlington - Sports
Maria Erb Thibault - NPI 1164492161
Maria Erb Thibault is a Sports in Burlington, Vermont. Maria Erb Thibault practices all healthcare services and medical treatments related to Sports. The NPI Number for Maria Erb Thibault is 1164492161. The last update date is 2020-06-18.
Maria Erb Thibault's current location address is 80 Colchester Ave, Burlington, Vermont. You can contact this provider via phone number 8026577990 and fax number 8028598935. The mailing address for Maria Erb Thibault is 80 Colchester Ave, Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maria Erb Thibault |
|---|---|
| Address | 80 Colchester Ave, Burlington, Vermont |
| Phone Number | 8026577990 |
| Fax Number | 8028598935 |
| Sole Proprietor | N |
| Credentials | PT, ATC |
NPI Number Detail
| NPI Number | 1164492161 |
|---|---|
| Provider Enumeration Date | 2006-01-24 |
| Last Updated Date | 2020-06-18 |
Provider Mailing Address Detail
| Address | 80 Colchester Ave |
|---|---|
| City | Burlington |
| State | Vermont (VT) |
| Post Code | 54011417 |
| Phone Number | 8026577990 |
| Fax Number | 8028598935 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 040-002463 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1006926 | VT | -- |
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What is the unique provider identifier assigned to Maria Erb Thibault?
The Maria Erb Thibault has been issued the NPI (National Provider Identifier) 1164492161 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Maria Erb Thibault located?
The Maria Erb Thibault is located at 80 Colchester Ave, Burlington, VT 54011417.
What is Maria Erb Thibault's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Maria Erb Thibault's specialized field of practice is Sports, and the corresponding taxonomy code that categorizes this area of specialization is 2251S0007X.
On what date did Maria Erb Thibault receive its 1164492161 assignment from the Centers for Medicare & Medicaid Services?
The Maria Erb Thibault was assigned its 1164492161 on 2006-01-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Maria Erb Thibault most recently updated?
The details pertaining to the Maria Erb Thibault, including its address, specialty, and other relevant information, were last refreshed on 2020-06-18.