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Active NPI 1477595452 Individual Practitioner Male Practitioner

Alan Michael Maynard , LAT, ATC

Specialist • Burlington, VT

Professional Overview & Biography Verified Profile Summary

Alan Maynard, LAT, ATC is a registered healthcare professional specializing in Specialist in Burlington, VT. Practice services are available at 213A PATRICK GYMNASIUM under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

213a Patrick Gymnasium
97 Spear St.

Burlington, VT 054050001

Telephone 8026567678

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Burlington, VT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 32.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Burlington, VT (60 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VT 1040000092

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 213A PATRICK GYMNASIUM, 97 SPEAR ST., BURLINGTON, VT 054050001 (Tel: 8026567678)

📍
Updated Business Mailing Address July 08, 2007

Registered at 42 CRYSTAL RD, FAIRFAX, VT 054549572 (Tel: 8026567678)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ALAN MAYNARD, LAT, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #1040000092 in VT)

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Initial NPI Registration & Enumeration June 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477595452
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

42 Crystal Rd

Fairfax, VT 054549572

Phone: 8026567678

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.