Organization Active NPI

Proactive Physical Therapy, PC

  • Physical Therapist
  • Center Rutland, VT
National Provider Identifier
1073377230
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROACTIVE PHYSICAL THERAPY, PC
Practice address
279 Business Route 4 Ste 1
Center Rutland, VT 05736-9701
Phone
(802) 775-4372
Fax
(802) 775-4918
NPI assigned
Feb 8, 2024
Last updated
Feb 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Darci WhitehorneNPI 1427072081
Title
Owner
Phone
(802) 775-4372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

279 Business Route 4 Ste 1
Center Rutland, VT 05736-9701

Mailing address

279 Business Route 4 Ste 1
Center Rutland, VT 05736-9701
Phone (802) 775-4372

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1073377230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 BUSINESS ROUTE 4 STE 1",
            "city": "CENTER RUTLAND",
            "state": "VT",
            "postal_code": "057369701",
            "telephone_number": "802-775-4372",
            "fax_number": "802-775-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 BUSINESS ROUTE 4 STE 1",
            "city": "CENTER RUTLAND",
            "state": "VT",
            "postal_code": "057369701",
            "telephone_number": "802-775-4372",
            "fax_number": "802-775-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "WHITEHORNE",
        "authorized_official_first_name": "DARCI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-775-4372"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.