Vineyard Complementary Medicine, INC
Clinic/Center, Physical Therapy in Edgartown, Massachusetts
1053490896- Practice location
- 238 Edgartown Vineyard Haven Road, Unit 1, Edgartown, MA 02539-6932
- Phone
- 508-693-3800
- Fax
- 508-693-7473
- Last updated
- December 1, 2020
Vineyard Complementary Medicine, INC is a healthcare organization based in Edgartown, MA. Vineyard Complementary Medicine, INC practices in Edgartown, MA. The NPI Number for Vineyard Complementary Medicine, INC is 1053490896 and holds a License No. 687 (MA). The current practice location address for Vineyard Complementary Medicine, INC is 238 Edgartown Vineyard Haven Road, Unit 1, Edgartown, MA 02539-6932 and can be reached out via phone at 508-693-3800 and via fax at 508-693-7473.
Provider Profile Details
- NPI Number
- 1053490896
- Provider Name
- Vineyard Complementary Medicine, INC
- Provider Entity Type
- Organization
- Address
- 238 Edgartown Vineyard Haven Road, Unit 1, Edgartown, MA 02539-6932
- Phone Number
- 508-693-3800
- Fax Number
- 508-693-7473
- Primary Taxonomy
- Clinic/Center, Physical Therapy · 261QP2000X
- Organization Subpart
- No
- Authorized Official
- Susan A Sanford, PT · President/Ceo · 508-693-3800
- Provider Enumeration Date
- November 3, 2006
- Last Update Date
- December 1, 2020
- Certification Date
- December 1, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 238 Edgartown Vineyard Haven Road
Unit 1
Edgartown, MA 02539-6932 - City
- Edgartown
- State
- Massachusetts
- Zip
- 02539-6932
- Phone Number
- 508-693-3800
- Fax Number
- 508-693-7473
Provider Business Mailing Address Details
- Address
- Po Box 1760
Edgartown, MA 02539-1760 - City
- Edgartown
- State
- MA
- Zip
- 02539-1760
- Phone Number
- 508-693-3800
- Fax Number
- 508-693-7473
License Information
- Taxonomy (1)
- Physical Therapist · 225100000X
- Taxonomy (2)
- Occupational Therapist · 225X00000X
- Taxonomy (3)
- Clinic/Center, Occupational Medicine · 261QX0100X
- License Number (4)
- 687
- License State (4)
- MA
- Taxonomy (4)
- Clinic/Center, Physical Therapy · 261QP2000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Physical Therapy providers near Edgartown, MA
View all Clinic/Center, Physical Therapy providers in Edgartown →Frequently Asked Questions
What is the NPI number of Vineyard Complementary Medicine, INC?
The NPI number of Vineyard Complementary Medicine, INC is 1053490896. It was assigned on November 3, 2006 and is currently active in the NPPES registry.
What is the specialty of Vineyard Complementary Medicine, INC?
Vineyard Complementary Medicine, INC is registered under the primary taxonomy Clinic/Center, Physical Therapy (code 261QP2000X), licensed in MA under license number 687.
Where does Vineyard Complementary Medicine, INC practice?
The practice location is 238 Edgartown Vineyard Haven Road, Unit 1, Edgartown, MA 02539-6932. The office can be reached at 508-693-3800 (phone) or 508-693-7473 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053490896 directly on the NPPES registry website.