Individual provider Active NPI

Brie E Beckwith, DPT

  • Physical Therapist
  • Rutland, VT
National Provider Identifier
1205085966
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0400003792 Issued in VT
Practice address
5 Albert Cree Dr
Rutland, VT 05701-4601
Phone
(802) 775-1300
Fax
(802) 773-9300
NPI assigned
Sep 17, 2008
Last updated
Nov 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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 0400003792 VT Primary

Addresses

Primary practice location

5 Albert Cree Dr
Rutland, VT 05701-4601

Mailing address

5 Albert Cree Dr
Rutland, VT 05701-4601
Phone (802) 775-1300

Other names 1

  • Brie Pike-Sprenger Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120203000284 VT Practitioner - Physical Therapist in Private Practice 2365609229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VTPT, Inc.Group PAC ID 9436219664, 5 clinicians

Practice addresses (Care Compare)

271 Moulton Rd
Waitsfield, VT 05673-7070
Phone (802) 496-6344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0400003792VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
VTPT, Inc. Physical Therapist CurrentSince Apr 6, 2015 Accepting new patients
Poulin Performance, Inc. Physical Therapist PastSince Apr 6, 2015 Accepting new patients
Vermont Sports Medicine Center Past Accepting new patients
Vermont Sports Medicine Center Physical Therapist PastSince Jun 12, 2003 Accepting new patients

Locations

271 Moulton Rd
Waitsfield, VT 05673
Phone (802) 496-4292

Organizations & group practices 4

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1205085966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ALBERT CREE DR",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014601",
            "telephone_number": "802-775-1300",
            "fax_number": "802-773-9300"
        },
        {
            "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": "802-773-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKWITH",
        "first_name": "BRIE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400003792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIE",
            "last_name": "PIKE-SPRENGER",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 29, 2016; 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.