Individual provider Active NPI

Katie Elizabeth Jewett, PT

  • Physical Therapist
  • Burlington, VT
National Provider Identifier
1174748131
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0400003626 Issued in VT
Practice address
208 Flynn Ave
Suite 3a
Burlington, VT 05401-5429
Phone
(802) 863-9900
Fax
(802) 863-9922
NPI assigned
Apr 16, 2007
Last updated
Aug 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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 0400003626 VT Primary

Addresses

Primary practice location

208 Flynn Ave
Suite 3a
Burlington, VT 05401-5429

Mailing address

208 Flynn Ave
Suite 3a
Burlington, VT 05401-5429
Phone (802) 863-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0400003626VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wayfinder Wellness and Physical Therapy, LLC Physical Therapist PastSince Dec 1, 2018 Accepting new patients
All Wellness, LLC Physical Therapist PastSince Jan 24, 2011 Accepting new patients
Every Woman Physical Therapy, LLC Physical Therapist Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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, 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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1174748131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 FLYNN AVE",
            "address_2": "SUITE 3A",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015429",
            "telephone_number": "802-863-9900",
            "fax_number": "802-863-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 FLYNN AVE",
            "address_2": "SUITE 3A",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015429",
            "telephone_number": "802-863-9900",
            "fax_number": "802-863-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWETT",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400003626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.