Active NPI
Diane M Everett, PT
- Physical Therapist
- Wilder, VT
National Provider Identifier
1285862920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040-0002231
- Practice address
- 331 Olcott Dr
Unit 2
Wilder, VT 05088-9800 - Phone
- (802) 295-7333
- Fax
- (802) 295-0058
- NPI assigned
- Jul 1, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040-0002231 | VT | Primary |
Addresses
Primary practice location
331 Olcott Dr
Unit 2
Wilder, VT 05088-9800
Mailing address
331 Olcott Drive
Unit 2
Wilder, VT 05088-9800
Phone (802) 295-7333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1285862920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 OLCOTT DRIVE",
"address_2": "UNIT 2",
"city": "WILDER",
"state": "VT",
"postal_code": "050889800",
"telephone_number": "802-295-7333",
"fax_number": "802-295-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 OLCOTT DR",
"address_2": "UNIT 2",
"city": "WILDER",
"state": "VT",
"postal_code": "050889800",
"telephone_number": "802-295-7333",
"fax_number": "802-295-0058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETT",
"first_name": "DIANE",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040-0002231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilder, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.