Individual provider Active NPI

Sara St. Gelais, DPT, ATC

  • Orthopedic Physical Therapist
  • Williston, VT
National Provider Identifier
1205175379
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40.0091542 Issued in VT
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

Updated by the provider on Oct 26, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
040.0091542OtherVTVERMONT STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130320000379 VT Practitioner - Physical Therapist in Private Practice 0042455149 Reassigns benefits to 2 organizations

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
Stowe Physical Therapy and Pilates, PLLCGroup PAC ID 4183049760, 3 clinicians

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

LicenseStateTypeSpecialty
40.0091542VTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Rehabgym Inc Sports CurrentSince Feb 5, 2013 Accepting new patients
Stowe Physical Therapy & Pilates PLLC Sports CurrentSince Feb 14, 2024 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.

Verify at the official NPI Registry.