Active NPIIndividual providerSole proprietor

Mr. Stephen J Blackett, PTA

Skilled Nursing Facility, Nursing Care, Pediatric in Rutland, Vermont

NPI Number1720283328
Practice location
46 Nichols St, Rutland, VT 05701-3275
Fax
—
Last updated
July 8, 2007

Stephen John Blackett is a Skilled Nursing Facility, Nursing Care, Pediatric based in Rutland, VT. Stephen John Blackett practices in Rutland, VT and has the professional credentials of PTA. The NPI Number for Stephen John Blackett is 1720283328 and holds a License No. 041-0000401 (VT). The current practice location address for Stephen John Blackett is 46 Nichols St, Rutland, VT 05701-3275 and can be reached out via phone at 802-775-2941.

Provider Profile Details

NPI Number
1720283328
Provider Name
Stephen John Blackett
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
46 Nichols St, Rutland, VT 05701-3275
Phone Number
802-775-2941
Sole Proprietor
Yes
Provider Enumeration Date
June 15, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
46 Nichols St
Rutland, VT 05701-3275
State
Vermont
Zip
05701-3275
Phone Number
802-775-2941
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
486 Town Farm RD
Brandon, VT 05733-9098
City
Brandon
State
VT
Zip
05733-9098
Phone Number
802-247-6340

License Information

License Number
041-0000401
License State
VT
Taxonomy
Skilled Nursing Facility, Nursing Care, Pediatric · 3140N1450X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mr. Stephen J Blackett, PTA?

The NPI number of Mr. Stephen J Blackett, PTA is 1720283328. It was assigned on June 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Stephen J Blackett, PTA?

Mr. Stephen J Blackett, PTA is registered under the primary taxonomy Skilled Nursing Facility, Nursing Care, Pediatric (code 3140N1450X), licensed in VT under license number 041-0000401.

Where does Mr. Stephen J Blackett, PTA practice?

The practice location is 46 Nichols St, Rutland, VT 05701-3275. The office can be reached at 802-775-2941 (phone).

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 1720283328 directly on the NPPES registry website.

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