Individual provider Active NPI

Katrina Werbinski, P.T.

  • Pediatric Physical Therapist
  • Rutland, VT
National Provider Identifier
1124167408
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
040-0003383 Issued in VT
Practice address
88 Park St
Rutland, VT 05701-4710
Phone
(802) 775-7612
Fax
(802) 747-6993
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 040-0003383 VT Primary

Addresses

Primary practice location

88 Park St
Rutland, VT 05701-4710

Mailing address

15 Ronaldo CT
Rutland, VT 05701-4240
Phone (802) 775-6577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
040-0003383VTMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124167408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RONALDO CT",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014240",
            "telephone_number": "802-775-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 PARK ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014710",
            "telephone_number": "802-775-7612",
            "fax_number": "802-747-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERBINSKI",
        "first_name": "KATRINA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VT",
            "license": "040-0003383",
            "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 Jul 8, 2007; 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.