Provider Demographics
NPI:1427681154
Name:VERMONT MOBILITY ARTS, PLLC
Entity type:Organization
Organization Name:VERMONT MOBILITY ARTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CHADWICK
Authorized Official - Last Name:HARDIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:802-487-9668
Mailing Address - Street 1:PO BOX 401
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:VT
Mailing Address - Zip Code:05855-0401
Mailing Address - Country:US
Mailing Address - Phone:802-487-9668
Mailing Address - Fax:
Practice Address - Street 1:155 DUCHESS AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855-5515
Practice Address - Country:US
Practice Address - Phone:802-487-9668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-21
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty