Vineyard Complementary Medicine, Inc
NPI 1053490896 · Physical Therapy Clinic/Center · Edgartown, MA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vineyard Complementary Medicine, Inc is a Physical Therapy Clinic/Center organization in Edgartown, MA (NPI 1053490896).
Provider details
- NPI number
- 1053490896
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Sanford, President/Ceo(508) 693-3800
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Medicine Clinic/Center261QX0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 9 Main StVineyard Haven, MA 02568-5400Phone: (508) 693-3800
- 455 State RdVineyard Haven, MA 02568-5695Phone: (508) 693-3800
- 426 State RdVineyard Haven, MA 02568-5626Phone: (508) 693-3800
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2020-12-01
- Certified
- 2020-12-01
Frequently asked questions
- What is Vineyard Complementary Medicine, Inc's NPI number?
- Vineyard Complementary Medicine, Inc's National Provider Identifier (NPI) is 1053490896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vineyard Complementary Medicine, Inc?
- Vineyard Complementary Medicine, Inc is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Vineyard Complementary Medicine, Inc located?
- Vineyard Complementary Medicine, Inc's practice location on file with NPPES is 238 Edgartown Vineyard Haven Road, Edgartown, MA 02539-6932.
- What is Vineyard Complementary Medicine, Inc's phone number?
- The practice phone number listed in the NPPES registry for Vineyard Complementary Medicine, Inc is (508) 693-3800.
- Does Vineyard Complementary Medicine, Inc accept Medicare?
- Vineyard Complementary Medicine, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vineyard Complementary Medicine, Inc?
- The authorized official listed on Vineyard Complementary Medicine, Inc's NPPES record is Susan Sanford, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vineyard Complementary Medicine, Inc's NPI active?
- Yes — Vineyard Complementary Medicine, Inc's NPI (1053490896) is active in the NPPES registry as of the last update on 2020-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.