Carolynne Fagan
NPI 1043809064ActiveIndividual· Specialist/Technologist, Athletic Trainer· Milton, VT
Specialist/Technologist, Athletic Trainer with Excel Physical Therapy Inc, practicing in Milton, Vermont. Medicare paid $7,690 for services to 23 patients in 2024.
Overview
| NPI | 1043809064 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 14, 2021 |
| Last updated in NPPES | Jan 14, 2021 |
| Certified by provider | Jan 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | — | — |
| Physical Therapist | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (VT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 411 across 8 procedure codes |
| Paid by Medicare | $7,690 |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Excel Physical Therapy IncMilton, VT · 6 clinicians
Other Specialist/Technologist, Athletic Trainer providers in Milton
- 1235445461
- 1114233327
- 1912336637
- 1639309529
- 1538624721
- 1790062206
- 1932336021
- 1851542492
- 1912869652
- 1144667197
- 1396287801
- 1629510102
All Specialist/Technologist, Athletic Trainer providers in Vermont →