Individual provider Active NPI

Cassandra Circe, DPT

  • Physical Therapist
  • Rutland, VT
National Provider Identifier
1225404130
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040.0111604 Issued in VT
Practice address
5 Albert Cree Dr
Rutland, VT 05701-4601
Phone
(802) 775-1300
Fax
(802) 775-9300
NPI assigned
Aug 14, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 040.0111604 VT Primary

Addresses

Primary practice location

5 Albert Cree Dr
Rutland, VT 05701-4601

Mailing address

652 Granger Rd
Barre, VT 05641-5369
Phone (802) 223-4200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150827000048 VT Practitioner - Physical Therapist in Private Practice 9931415502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Provencher Physical Therapy, Inc.Group PAC ID 8729273925, 3 clinicians

Practice addresses (Care Compare)

137 S Main St
Suite 1
Waterbury, VT 05676-1592
Phone (802) 244-1140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040.0111604VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Provencher Physical Therapy, Inc. Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients
Rush-Select Holdings, LLC PastSince Jun 1, 2022 Accepting new patients
Rush-Select Holdings, LLC PastSince Jun 1, 2022 Accepting new patients

Locations

137 S Main St
Ste 1
Waterbury, VT 05676
Phone (802) 244-1140

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": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225404130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 GRANGER RD",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056415369",
            "telephone_number": "802-223-4200",
            "fax_number": "802-223-4211"
        },
        {
            "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": "802-775-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRCE",
        "first_name": "CASSANDRA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0111604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2022; 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.