Individual provider Active NPI

Joseph M Myers, DPT

  • Physical Therapist
  • Rutland, VT
National Provider Identifier
1003283508
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040.0112798 Issued in VT
Practice address
46 Nichols St
Rutland, VT 05701-3275
Phone
(802) 775-2941
NPI assigned
Sep 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 040.0112798 VT Primary

Addresses

Primary practice location

46 Nichols St
Rutland, VT 05701-3275

Mailing address

46 Nichols St
Rutland, VT 05701-3275
Phone (802) 775-2941

Other practice location 1

28 4th St
Fair Haven, VT 05743-1053
Phone (802) 265-4055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151026002191 VT Practitioner - Physical Therapist in Private Practice 1850600230 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vermont Physical Therapy PLC Physical Therapist CurrentSince Jun 24, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1003283508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 NICHOLS ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013275",
            "telephone_number": "802-775-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 NICHOLS ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013275",
            "telephone_number": "802-775-2941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 4th St",
            "address_purpose": "LOCATION",
            "city": "Fair Haven",
            "state": "VT",
            "postal_code": "057431053",
            "country_code": "US",
            "telephone_number": "802-265-4055",
            "fax_number": "802-265-8838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-01",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0112798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.