Individual provider Active NPI

Jennifer Nesmith Thomas, PT

  • Physical Therapist
  • Rutland, VT
National Provider Identifier
1154417681
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040-0003036 Issued in VT
Practice address
5 Albert Cree Dr
Rutland, VT 05701-4601
Phone
(802) 775-1300
Fax
(802) 775-9300
NPI assigned
Oct 4, 2006
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
Physical Therapist 225100000X 040-0003036 VT Primary

Addresses

Primary practice location

5 Albert Cree Dr
Rutland, VT 05701-4601

Mailing address

112 Norton Ave
Poultney, VT 05764-1065
Phone (802) 287-4072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061206000262 VT Practitioner - Physical Therapist in Private Practice 3476463340 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
Vermont Sports Medicine CenterGroup PAC ID 2365334810, 14 clinicians

Practice addresses (Care Compare)

190 S Main St
Suite 1
Rutland, VT 05701-4812
Phone (802) 775-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040-0003036VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vermont Sports Medicine Center CurrentSince Oct 9, 2006 Accepting new patients
Vermont Sports Medicine Center Physical Therapist CurrentSince Oct 9, 2006 Accepting new patients

Locations

5 Albert Cree Dr
Rutland, VT 05701
Phone (802) 775-1300

190 S Main St
#1
Rutland, VT 05701
Phone (802) 775-1300

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, 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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154417681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 NORTON AVE",
            "city": "POULTNEY",
            "state": "VT",
            "postal_code": "057641065",
            "telephone_number": "802-287-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ALBERT CREE DR",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014601",
            "telephone_number": "802-775-1300",
            "fax_number": "802-775-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JENNIFER",
        "middle_name": "NESMITH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040-0003036",
            "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.
  • 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.