Nicole Whitney Davignon, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0086066 Issued in VT

Practice address

166 Athletic Dr
Shelburne, VT 05482-4433

Phone

(802) 985-4440

Fax

(802) 985-4445

NPI assigned

Jul 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Momentum Physical Therapy PLCGroup PAC ID 5890795348, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Momentum Physical Therapy PLC

  • Physical Therapist
  • S Burlington, VT
  • NPI 1346318565
  Medicare reassignment Care Compare group NPD
• Dee Physical Therapy Services PLC

  • Physical Therapist
  • South Burlington, VT
  • NPI 1083773436
  NPD

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1144585530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SAN REMO DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036343",
            "telephone_number": "802-865-0010",
            "fax_number": "802-865-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 ATHLETIC DR",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054824433",
            "telephone_number": "802-985-4440",
            "fax_number": "802-985-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIGNON",
        "first_name": "NICOLE",
        "middle_name": "WHITNEY",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0086066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN3242",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miles K Colaprete, DC
• Communal Health Services PLLC
• Compassionate Reliable Neighbors LLC (SYNERGY HomeCare)
• Jacob Cribbs
• Dan Melo , DMD , PLC (Shelburne Dental Group)
• Philip J Davignon, M.D.
• Fernando Luis De Jesus Jr., RN
• Michala Dean, PT, DPT
• Jessica Decker
• Trish Dempsey, LICSW

• Physical Therapist in Shelburne, VT
• Providers in Shelburne, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.