Kayla June Disciullo, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

041.0105904 Issued in VT

Practice address

47 Commerce Dr
Colchester, VT 05446-8038

Phone

(802) 876-1000

Fax

(802) 876-1029

NPI assigned

Aug 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Inspire Physical Therapy PLC

  • Physical Therapy Clinic/Center
  • Colchester, VT
  • NPI 1215052584
  NPD

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1013684745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 COMMERCE DR",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054468038",
            "telephone_number": "802-876-1000",
            "fax_number": "802-876-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 COMMERCE DR",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054468038",
            "telephone_number": "802-876-1000",
            "fax_number": "802-876-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISCIULLO",
        "first_name": "KAYLA",
        "middle_name": "JUNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VT",
            "license": "041.0105904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharron Marie Delaney, SLP
• Ashley Caldwell Demers
• Sara Dempsey
• Susan Leigh Deppe, MD
• Abigail Loveday Greene Dewolfe, BS OTR
• Sarah Doben, PT, DPT
• Jillian Leigh Donovan, PHARMD
• Priscilla Douglas, M.S.
• Dr Anna M Bolanis Family Dentistry Inc
• Dr. Kenneth Palm

• All providers in Colchester, VT
• Physical Therapy Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.