Kathryn Theisen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0134222 Issued in VT

Practice address

137 S Main St
Waterbury, VT 05676-1579

Phone

(802) 488-1140

NPI assigned

Jan 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Provencher Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Waterbury, VT
  • NPI 1225358310

  Physical Therapist

  NPD
• Family Physcial Therapy, Inc.

  • Physical Therapist
  • Waterbury, VT
  • NPI 1699868091
  NPD (past)

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1316360720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 STOWE ST APT 2",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761820",
            "telephone_number": "262-391-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S MAIN ST",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761579",
            "telephone_number": "802-488-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEISEN",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0134222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne D Stern, MS CCC-SLP
• Thomas Albin Sturm, R.PH.
• Donald R Swartz, MD
• Nicole Ryann Tessier, MSW, LICSW
• The Squier House, Inc.
• Raymond Joseph Vanvoorhis, D.C.
• Vasta PT Waterbury LLC
• Vincents Rexall Drugs Inc
• Vocational Rehabiliation Vermont
• Waterbury Eye Care Center, PLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.