Provider Demographics
NPI:1235530106
Name:ROBINSON, JONATHAN (PT, DPT, NCS)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:PT, DPT, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 ARBOR TER
Mailing Address - Street 2:
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452-4139
Mailing Address - Country:US
Mailing Address - Phone:802-734-8744
Mailing Address - Fax:
Practice Address - Street 1:133 LOUDON RD UNIT 10A
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5613
Practice Address - Country:US
Practice Address - Phone:603-219-3835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-10
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040.0105604225100000X
NH5549225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist