Healthcare Provider Details

I. General information

NPI: 1801976774
Provider Name (Legal Business Name): ANN CATHERINE GREENAN NAUMANN P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 KENNEDY DR UNIT 3
S BURLINGTON VT
05403-7152
US

IV. Provider business mailing address

127 TILDEN AVE
RICHMOND VT
05477-4400
US

V. Phone/Fax

Practice location:
  • Phone: 802-863-3323
  • Fax: 802-863-3288
Mailing address:
  • Phone: 802-434-5006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number0400002291
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number040.0002291
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: