Individual provider Active NPI

Giselle Dy Vermilyea, DPT

  • Physical Therapist
National Provider Identifier
1326651233
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305213297 Issued in VA
Practice address
1 Chome Misumimachi
Iwakuni, YAMAGUCHI 7400025
JP
Phone
(082) 794-8332
NPI assigned
Aug 28, 2020
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 2305213297 VA Primary

Addresses

Primary practice location

1 Chome Misumimachi
Iwakuni, YAMAGUCHI 7400025
JP

Mailing address

PSC 561 Box 147
Fpo, AP 96310-0002
Phone (205) 217-1719

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220707003803 VA Practitioner - Physical Therapist in Private Practice 7810377884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Proactive HealthGroup PAC ID 6800179490, 5 clinicians

Practice addresses (Care Compare)

2830 Virginia Beach Blvd
Virginia Beach, VA 23452-7614
Phone (757) 416-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305213297VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Proactive Health Physical Therapist CurrentSince May 5, 2022 Accepting new patients

Locations

2830 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 364-0067

Organizations & group practices 1

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326651233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 561 BOX 147",
            "city": "FPO",
            "state": "AP",
            "postal_code": "963100002",
            "telephone_number": "205-217-1719"
        },
        {
            "country_code": "JP",
            "country_name": "Japan",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "1 CHOME MISUMIMACHI",
            "city": "IWAKUNI",
            "state": "YAMAGUCHI",
            "postal_code": "7400025",
            "telephone_number": "082-794-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMILYEA",
        "first_name": "GISELLE",
        "middle_name": "DY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.