- Practice location
- 321 Main St Ste D, Winooski, VT 05404-1380
- Phone
- 802-864-3785
- Fax
- 802-864-0274
- Last updated
- March 24, 2018
Evan Robert Laz Flynn is a Physical Therapist based in Winooski, VT. Evan Robert Laz Flynn practices in Winooski, VT and has the professional credentials of PT, DPT. The NPI Number for Evan Robert Laz Flynn is 1679939581 and holds a License No. 293084 (CA). The current practice location address for Evan Robert Laz Flynn is 321 Main St Ste D, Winooski, VT 05404-1380 and can be reached out via phone at 802-864-3785 and via fax at 802-864-0274.
Provider Profile Details
- NPI Number
- 1679939581
- Provider Name
- Evan Robert Laz Flynn
- Credential
- PT, DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 321 Main St Ste D, Winooski, VT 05404-1380
- Phone Number
- 802-864-3785
- Fax Number
- 802-864-0274
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 7, 2016
- Last Update Date
- March 24, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 321 Main St Ste D
Winooski, VT 05404-1380 - City
- Winooski
- State
- Vermont
- Zip
- 05404-1380
- Phone Number
- 802-864-3785
- Fax Number
- 802-864-0274
Provider Business Mailing Address Details
- Address
- 321 Main St Ste D
Winooski, VT 05404-1380 - City
- Winooski
- State
- VT
- Zip
- 05404-1380
- Phone Number
- 802-864-3785
- Fax Number
- 802-864-0274
License Information
- License Number (1)
- 293084
- License State (1)
- CA
- Taxonomy (1)
- Physical Therapist · 225100000X
- License Number (2)
- 4587
- License State (2)
- ME
- Taxonomy (2)
- Physical Therapist · 225100000X
- License Number (3)
- 040.0133981
- License State (3)
- VT
- Taxonomy (3)
- 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 Dr. Evan R Flynn, PT, DPT?
The NPI number of Dr. Evan R Flynn, PT, DPT is 1679939581. It was assigned on January 7, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Evan R Flynn, PT, DPT?
Dr. Evan R Flynn, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CA under license number 293084.
Where does Dr. Evan R Flynn, PT, DPT practice?
The practice location is 321 Main St Ste D, Winooski, VT 05404-1380. The office can be reached at 802-864-3785 (phone) or 802-864-0274 (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 1679939581 directly on the NPPES registry website.