Active NPI
Sara St. Gelais, DPT, ATC
- Orthopedic Physical Therapist
- Williston, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 40.0091542
- Practice address
- 30 Hawthorne St
Williston, VT 05495-8212 - Phone
- (802) 876-6000
- NPI assigned
- Feb 8, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 40.0091542 | VT | Primary |
| Sports Physical Therapist | 2251S0007X | 40.0091542 | VT |
Addresses
Primary practice location
30 Hawthorne St
Williston, VT 05495-8212
Mailing address
373 Blair Park Rd
Williston, VT 05495-8037
Phone (802) 876-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040.0091542 | Other | VT | VERMONT STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5217 Stagecoach Rd
Morristown, VT 05661-9259
Phone 8022797767201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40.0091542 | VT | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Rehabgym Inc | Sports | Current | Accepting new patients |
| Stowe Physical Therapy & Pilates PLLC | Sports | Current | Accepting new patients |
Locations
219 N Main St
Ste 103
Barre, VT 05641
Phone (802) 479-4000
905 Roosevelt Hwy
Ste 115
Colchester, VT 05446
Phone (802) 861-0111
373 Blair Park Rd
Unit 100
Williston, VT 05495
Phone (802) 876-6000
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508976000000",
"number": "1205175379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 BLAIR PARK RD",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054958037",
"telephone_number": "802-876-6000",
"fax_number": "803-876-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HAWTHORNE ST",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054958212",
"telephone_number": "802-876-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. GELAIS",
"first_name": "SARA",
"name_prefix": "Dr.",
"credential": "DPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-08",
"last_updated": "2017-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "VT",
"license": "40.0091542",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "VT",
"license": "40.0091542",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VERMONT STATE LICENSE",
"identifier": "040.0091542",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williston, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.