Pamela Kondra Sills, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0400002460 Issued in VT

Practice address

PO Box 103
Jeffersonville, VT 05464-0103

Phone

(802) 644-8011

Fax

(802) 644-8047

NPI assigned

Jun 12, 2006

Last updated

Nov 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Group practices

Brian Aucter Physical Therapy PLCGroup PAC ID 6800264680, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Brian Aucter Physical Therapy PLC

  • Physical Therapist
  • Jeffersonville, VT
  • NPI 1801519681
  Medicare reassignment Care Compare group NPD
• Sunrise Physical Therapy, Inc.

  • Physical Therapist
  • Jeffersonville, VT
  • NPI 1083651673
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1255373239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "JEFFERSONVILLE",
            "state": "VT",
            "postal_code": "05464",
            "telephone_number": "802-644-8011",
            "fax_number": "802-644-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "JEFFERSONVILLE",
            "state": "VT",
            "postal_code": "054640103",
            "telephone_number": "802-644-8011",
            "fax_number": "802-644-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLS",
        "first_name": "PAMELA",
        "middle_name": "KONDRA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400002460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008739",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riverview Life Skills Center, Inc.
• James Robinson
• Katherine T Robinson, NBC-HWC
• Shelly Houle Rodriguez, LCMHC, LADC
• William Shinn
• Sereena G Simoneau, RDH
• Katherine Sisson, DPT
• Emily Slayton, DPT
• Sunrise Physical Therapy, Inc.
• Kristy Wrigley, MS, LCMHC

• Physical Therapist in Jeffersonville, VT
• Providers in Jeffersonville, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.