- Practice location
- 84 S Main St, Barre, VT 05641-4897
- Phone
- 802-476-3305
- Fax
- 802-476-0976
- Last updated
- September 18, 2025
Maryellen Willette Boutin is a Physical Therapist based in Barre, VT. Maryellen Willette Boutin practices in Barre, VT and has the professional credentials of PHYSICAL THERAPIST. The NPI Number for Maryellen Willette Boutin is 1427090521 and holds a License No. 0400003183 (VT). The current practice location address for Maryellen Willette Boutin is 84 S Main St, Barre, VT 05641-4897 and can be reached out via phone at 802-476-3305 and via fax at 802-476-0976.
Provider Profile Details
- NPI Number
- 1427090521
- Provider Name
- Maryellen Willette Boutin
- Credential
- PHYSICAL THERAPIST
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 84 S Main St, Barre, VT 05641-4897
- Phone Number
- 802-476-3305
- Fax Number
- 802-476-0976
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 12, 2006
- Last Update Date
- September 18, 2025
- Certification Date
- September 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 84 S Main St
Barre, VT 05641-4897 - City
- Barre
- State
- Vermont
- Zip
- 05641-4897
- Phone Number
- 802-476-3305
- Fax Number
- 802-476-0976
Provider Business Mailing Address Details
- Address
- 84 S Main St
Barre, VT 05641-4897 - City
- Barre
- State
- VT
- Zip
- 05641-4897
- Phone Number
- 802-476-3305
- Fax Number
- 802-476-0976
License Information
- License Number
- 0400003183
- License State
- VT
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Maryellen W Boutin, PHYSICAL THERAPIST?
The NPI number of Mrs. Maryellen W Boutin, PHYSICAL THERAPIST is 1427090521. It was assigned on June 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Mrs. Maryellen W Boutin, PHYSICAL THERAPIST?
Mrs. Maryellen W Boutin, PHYSICAL THERAPIST is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in VT under license number 0400003183.
Where does Mrs. Maryellen W Boutin, PHYSICAL THERAPIST practice?
The practice location is 84 S Main St, Barre, VT 05641-4897. The office can be reached at 802-476-3305 (phone) or 802-476-0976 (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 1427090521 directly on the NPPES registry website.