Active NPI
Robin Celeste Waterman, PT
- Physical Therapist
- Bennington, VT
National Provider Identifier
1184883829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05001708A
- Practice address
- 34 Monument Ave
Bennington, VT 05201-2130 - Phone
- (802) 442-9387
- NPI assigned
- Jun 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040-0002968 | VT | |
| Physical Therapist | 225100000X | 05001708A | IN | Primary |
| Physical Therapist | 225100000X | PT00001719 | ME |
Addresses
Primary practice location
34 Monument Ave
Bennington, VT 05201-2130
Mailing address
34 Monument Ave
Bennington, VT 05201-2130
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05001708A | IN | MD | Physical Therapist |
| PT00001719 | ME | MD | Physical Therapist |
| 040-0002968 | VT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1184883829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 MONUMENT AVE",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052012130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 MONUMENT AVE",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052012130",
"telephone_number": "802-442-9387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERMAN",
"first_name": "ROBIN",
"middle_name": "CELESTE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040-0002968",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05001708A",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT00001719",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bennington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.