Individual provider Active NPI

Vicki Lynne Vermeer, M.S.P.T.

  • Physical Therapist
  • Kilmarnock, VA
National Provider Identifier
1114919529
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305202045 Issued in VA
Practice address
500 Irvington Rd
Kilmarnock, VA 22482-9590
Phone
(804) 435-3435
Fax
(804) 435-3682
NPI assigned
Aug 22, 2005
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305202045 VA Primary

Addresses

Primary practice location

500 Irvington Rd
Kilmarnock, VA 22482-9590

Mailing address

PO Box 128
Kilmarnock, VA 22482-0128
Phone (804) 435-3435

Other identifiers 2

IdentifierTypeStateIssuer
20091OtherVASENTARA
250404OtherVABCBS PROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040315001554 VA Practitioner - Physical Therapist in Private Practice 9133019128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carousel Physical Therapy, Inc.Group PAC ID 9931098928, 8 clinicians

Practice addresses (Care Compare)

10880 General Puller Hwy
Suite N
Hartfield, VA 23071-3140
Phone (804) 776-8500

500 Irvington Rd
Kilmarnock, VA 22482-9590
Phone (804) 435-3435

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as individual
Quality
80
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carousel Physical Therapy, Inc. Physical Therapist CurrentSince Aug 31, 1999 Accepting new patients

Locations

500 Irvington Rd
Kilmarnock, VA 22482
Phone (804) 435-3435

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114919529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224820128",
            "telephone_number": "804-435-3435",
            "fax_number": "804-435-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 IRVINGTON RD",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224829590",
            "telephone_number": "804-435-3435",
            "fax_number": "804-435-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMEER",
        "first_name": "VICKI",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "20091",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "250404",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilmarnock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.