Individual provider Active NPI

Vivian A. Trotta, MSPT

  • Physical Therapist
  • Watertown, MA
National Provider Identifier
1144559915
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16250 Issued in MA
Practice address
200 Dexter Ave
Suite K
Watertown, MA 02472-4238
Phone
(617) 600-3195
Fax
(617) 924-1207
NPI assigned
Dec 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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 16250 MA Primary

Addresses

Primary practice location

200 Dexter Ave
Suite K
Watertown, MA 02472-4238

Mailing address

200 Dexter Ave
Suite K
Watertown, MA 02472-4238
Phone (617) 600-3195

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111223000035 MA Practitioner - Physical Therapist in Private Practice 8729254602 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16250MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Therapists LLC Physical Therapist CurrentSince Aug 3, 2025 Accepting new patients
Visiting Therapists LLC CurrentSince Aug 3, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1144559915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DEXTER AVE",
            "address_2": "SUITE K",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724238",
            "telephone_number": "617-600-3195",
            "fax_number": "617-924-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DEXTER AVE",
            "address_2": "SUITE K",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724238",
            "telephone_number": "617-600-3195",
            "fax_number": "617-924-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTA",
        "first_name": "VIVIAN",
        "middle_name": "A.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.