Northeast Kingdom Physical Therapy PC
NPI 1417175761 · Physical Therapy Clinic/Center · Newport, VT
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Kingdom Physical Therapy PC is a Physical Therapy Clinic/Center organization in Newport, VT (NPI 1417175761).
Provider details
- NPI number
- 1417175761
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Hogan, Owner(802) 334-8558
Specialties & taxonomies
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
1 documented practice location
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
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2012-09-19
Frequently asked questions
- What is Northeast Kingdom Physical Therapy PC's NPI number?
- Northeast Kingdom Physical Therapy PC's National Provider Identifier (NPI) is 1417175761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Kingdom Physical Therapy PC?
- Northeast Kingdom Physical Therapy PC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Northeast Kingdom Physical Therapy PC located?
- Northeast Kingdom Physical Therapy PC's practice location on file with NPPES is 235 Lakemont Rd, Newport, VT 05855-9507.
- What is Northeast Kingdom Physical Therapy PC's phone number?
- The practice phone number listed in the NPPES registry for Northeast Kingdom Physical Therapy PC is (802) 334-8558.
- Does Northeast Kingdom Physical Therapy PC accept Medicare?
- Northeast Kingdom Physical Therapy PC 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 Northeast Kingdom Physical Therapy PC?
- The authorized official listed on Northeast Kingdom Physical Therapy PC's NPPES record is William Hogan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Kingdom Physical Therapy PC's NPI active?
- Yes — Northeast Kingdom Physical Therapy PC's NPI (1417175761) is active in the NPPES registry as of the last update on 2012-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.