Casandra Douglass, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040-0003753 Issued in VT

Practice address

1 Market PL Ste 27&33
Essex Junction, VT 05452-2942

Phone

(802) 878-9572

Fax

(802) 878-9592

NPI assigned

Nov 8, 2007

Last updated

Sep 14, 2010By the provider in NPPES

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

• Casandra McDonald Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Paquette Therapy Corporation

  dba Essex Aquatic & Rehab Center

  • Specialist
  • Essex JCT, VT
  • NPI 1790741239

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1396925236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARKET PL STE 27&33",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054522942",
            "telephone_number": "802-878-9572",
            "fax_number": "802-878-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MARKET PL STE 27&33",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054522942",
            "telephone_number": "802-878-9572",
            "fax_number": "802-878-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "CASANDRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040-0003753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASANDRA",
            "last_name": "MCDONALD",
            "credential": "PHYSICAL THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsey Doe
• Yangzom Dolma
• Donald a Majercik, MD, Facs, PC
• Jennifer M Donohue, M.A.
• Hella Douglas, APRN BC ADULT PSYCH
• DRS. Mehaffey, LLC
• Felicia Drummond
• Sarah Kay Dudley, APRN
• Kelly Waters Dunklow
• Tilyr Alfred Dunklow, D.C., B.S.

• Physical Therapist in Essex Junction, VT
• Providers in Essex Junction, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.