Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Lifestyle Athlete PLC

Organization Physical Therapist · NPI 1437778008

The Lifestyle Athlete PLC is a Physical Therapist in Williston, Vermont. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

520 Avenue D
Williston, VT 05495-7136
Phone: (802) 388-2318
Fax: (802) 399-2505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16b Morse Dr, Essex Junction, VT 05452-2811 — (802) 399-2318

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1437778008
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Casey Baczewski — Owner · (802) 338-1406
NPI enumeratedApril 13, 2020
Last updated in NPPESNovember 2, 2024
Certification dateNovember 2, 2024
Mailing addressPo Box 8381, Essex, VT 05451-8381

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