Carolynne Fagan
Carolynne Fagan is a Physical Therapist in Private Practice in Milton, Vermont. Qualified in 2024, 2 years ago. Practices with Excel Physical Therapy Inc, a 6-clinician group and accepts Medicare assignment.
- Years since qualifying
- 2
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
32 Stacy StMilton, VT 05468-4161
Phone: (802) 893-1642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Physical Therapist | Taxonomy 225100000X |
Record details
| NPI number | 1043809064 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 14, 2021 |
| Last updated in NPPES | January 14, 2021 |
| Certification date | January 14, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Excel Physical Therapy Inc — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Andrea J Bushey, ATC
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Mr. Michael S. Dekens, ATC
184 Route 7 S, Milton, VT 05468-3602 · (802) 893-7427
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Danielle Ferrante, ATC
184 Route 7 S, Milton, VT 05468-3602 · (802) 893-7427
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Rebecca Rae Gladden, ATC, LAT
184 Route 7 S, Milton, VT 05468-3602 · (802) 893-7427
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Michael Gordon, ATC
184 Route 7 S, Milton, VT 05468-3602 · (802) 893-7427
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Andrew M Gross, ATC
184 Route 7 S, Milton, VT 05468-3602 · (802) 893-7427