Active NPI
Madeline Patricia Cervini, PT
- Physical Therapist
- Saint Albans, VT
National Provider Identifier
1124283833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0400003166
- Practice address
- 133 Fairfield St
Saint Albans, VT 05478-1726 - Phone
- (802) 524-1064
- Fax
- (802) 524-1025
- NPI assigned
- Jul 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0400003166 | VT | Primary |
Addresses
Primary practice location
133 Fairfield St
Saint Albans, VT 05478-1726
Mailing address
133 Fairfield St
Saint Albans, VT 05478-1726
Phone (802) 524-1064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100805000552 | VT | Practitioner - Physical Therapist in Private Practice | 6103959580 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Momentum Physical Therapy PLC
Practice addresses (Care Compare)
10 Farrell St
Suite 7
S Burlington, VT 05403-6371
Phone (802) 864-6262
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentum Physical Therapy PLC | Physical Therapist | Current | Accepting new patients |
| Wayfinder Wellness and Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| All Wellness, LLC | Physical Therapist | Past | Accepting new patients |
Locations
160 Flynn Ave
Burlington, VT 05401
Phone (802) 864-6262
10 Farrell St
Ste 7
South Burlington, VT 05403
Phone (802) 318-5564
Interoperability endpoints
- https://api.platform.athenahealth.com/18854/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Physical Therapist
- S Burlington, VT
- NPI 1346318565
-
- Physical Therapist
- Burlington, VT
- NPI 1467625848
-
- Physical Therapist
- South Burlington, VT
- NPI 1073098588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1124283833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 FAIRFIELD ST",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054781726",
"telephone_number": "802-524-1064",
"fax_number": "802-524-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 FAIRFIELD ST",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054781726",
"telephone_number": "802-524-1064",
"fax_number": "802-524-1025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVINI",
"first_name": "MADELINE",
"middle_name": "PATRICIA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "0400003166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Albans, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.