Vashti Rose Graphenteen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9861 Issued in MN

Practice address

1460 Curve Crest Blvd W
Stillwater, MN 55082-6070

Phone

(651) 241-3820

Fax

(612) 262-6707

NPI assigned

Dec 22, 2014

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 names 1

• Vashti Rose Derosier Former name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sandpoint Physical Therapy PCGroup PAC ID 0840533006, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sandpoint Physical Therapy PC

  • Physical Therapist
  • Sandpoint, ID
  • NPI 1558828020
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1285032409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 CURVE CREST BLVD W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826070",
            "telephone_number": "651-241-3820",
            "fax_number": "612-262-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 CURVE CREST BLVD W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826070",
            "telephone_number": "651-241-3820",
            "fax_number": "612-262-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAPHENTEEN",
        "first_name": "VASHTI",
        "middle_name": "ROSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VASHTI",
            "last_name": "DEROSIER",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Krista Noel Gossai, D.D.S.
• Nicolette Gott, PHARM D
• Kaitlyn Goulet, M.S. CCC-SLP
• Grace Medical Inc.
• Grand St Paul CVS LLC
• Matthew M Grau, D.D.S.
• Heather L Gray, PHYSICIAN ASSISTANT
• Mary Gray
• Great Lakes Oral & Maxillofacial Surgery, P.a.
• Elizabeth Ann Griffin, PA-C

• Physical Therapist in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.