Individual provider Active NPI

Casey Amber Chabot, DPT

  • Physical Therapist
  • St Johnsbury, VT
National Provider Identifier
1356969414
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12688 Issued in CT
Practice address
1248 Hospital Dr
St Johnsbury, VT 05819-9239
Phone
(860) 367-6778
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040.0134545PROV VT
Physical Therapist 225100000X 12688 CT Primary

Addresses

Primary practice location

1248 Hospital Dr
St Johnsbury, VT 05819-9239

Mailing address

122 Great Neck Rd
Waterford, CT 06385-3504
Phone (860) 367-6778

Other practice location 1

98-211 Pali Momi St Ste 707
Aiea, HI 96701-4339
Phone (808) 450-9250

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Waterford Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200804000652 HI Practitioner - Physical Therapist in Private Practice 1254756547 Reassigns benefits to 1 organization
I20231110001505 CO Practitioner - Physical Therapist in Private Practice 1254756547 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040.0134545PROVVTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Colorado, LLC Physical Therapist CurrentSince Oct 26, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC Physical Medicine & Rehabilitation Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 26, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 26, 2024 Accepting new patients
Bloomfield Physical Therapy Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients
Quality Care Therapy, LLC Physical Therapist CurrentSince May 3, 2021 Accepting new patients
Moon Physical Therapy LLC Physical Therapist PastSince May 3, 2021 Accepting new patients

Locations

7661 McLaughlin Rd
#1011
Falcon, CO 80831
Phone (785) 367-2353

201 Hamakua Dr
Ste C102
Kailua, HI 96734
Phone (808) 597-1005

95-1057 Ainamakua Dr
Ste F11
Mililani, HI 96789
Phone (808) 597-1005

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1356969414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GREAT NECK RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063853504",
            "telephone_number": "860-367-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 HOSPITAL DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199239",
            "telephone_number": "860-367-6778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98-211 Pali Momi St Ste 707",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967014339",
            "country_code": "US",
            "telephone_number": "808-450-9250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHABOT",
        "first_name": "CASEY",
        "middle_name": "AMBER",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0134545PROV",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Waterford",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "98-211 Pali Momi St Ste 707",
            "city": "Aiea",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967014339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.