Healthcare Provider Details

I. General information

NPI: 1215052584
Provider Name (Legal Business Name): INSPIRE PHYSICAL THERAPY PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 09/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 COMMERCE DR
COLCHESTER VT
05446-8038
US

IV. Provider business mailing address

47 COMMERCE DR
COLCHESTER VT
05446-8038
US

V. Phone/Fax

Practice location:
  • Phone: 802-876-1000
  • Fax: 802-876-1029
Mailing address:
  • Phone: 802-876-1000
  • Fax: 802-876-1029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number0400003506
License Number StateVT

VIII. Authorized Official

Name: OLIVER HALL
Title or Position: OWNER
Credential: PT
Phone: 802-876-1000