Individual provider Active NPI

James R Cummings, PT

  • Physical Therapist
  • Essex Junction, VT
National Provider Identifier
1164482154
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0400002601 Issued in VT
Practice address
1 Market Place
Suites 27 & 33
Essex Junction, VT 05452
Phone
(802) 878-9572
Fax
(802) 878-9592
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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 0400002601 VT Primary

Addresses

Primary practice location

1 Market Place
Suites 27 & 33
Essex Junction, VT 05452

Mailing address

426 Industrial Ave
Ste 190
Williston, VT 05495-7904
Phone (802) 489-6245

Other identifiers 3

IdentifierTypeStateIssuer
753448OtherCIGNA
18208OtherBLUE CROSS BLUE SHIELD
43V301OtherMVP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060425000534 VT Practitioner - Physical Therapist in Private Practice 2365452133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Vermont College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT 360 IncGroup PAC ID 0749469906, 18 clinicians

Practice addresses (Care Compare)

426 Industrial Ave
Suite 190
Williston, VT 05495-7904
Phone (802) 860-4360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0400002601VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT 360 Inc Physical Therapist CurrentSince Sep 29, 2021 Accepting new patients
Rush-Select Holdings, LLC PastSince Jun 1, 2022 Accepting new patients
Choice Physical Therapy LLC Physical Therapist PastSince Mar 14, 2000 Accepting new patients

Locations

10 Farrell St
Ste 7
South Burlington, VT 05403
Phone (802) 318-5564

426 Industrial Ave
Ste 190
Williston, VT 05495
Phone (802) 657-7990

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1164482154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 INDUSTRIAL AVE",
            "address_2": "STE 190",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957904",
            "telephone_number": "802-489-6245",
            "fax_number": "802-876-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MARKET PLACE",
            "address_2": "SUITES 27 & 33",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "05452",
            "telephone_number": "802-878-9572",
            "fax_number": "802-878-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400002601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "753448",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "18208",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "43V301",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.