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General NPI Number Information
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NPI Number | 1821753831
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Entity Type | Organization
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Legal Business Name | SUMMIT PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 11/04/2021
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 4974 MOUNTAIN RD
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City | STOWE
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State | VT
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Zip | 05672-5352
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Country | US
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Telephone | 802-328-8217
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Fax |
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Provider Business Mailing Address
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Address Line | 332 FITZGERALD RD
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City | MORRISVILLE
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State | VT
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Zip | 05661-8912
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Country | US
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Telephone | 802-598-7401
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELE MANNINO
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Credential | DPT
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Telephone | 802-598-7401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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