Individual provider Active NPI

Kathy Van Metzger, PT

  • Physical Therapist
  • Manchester Center, VT
National Provider Identifier
1417962713
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0400002050 Issued in VT
Practice address
7252 Route 7a, Suite H
Metzger & Mole Physical Therapy
Manchester Center, VT 05255-1632
Phone
(802) 362-1334
Fax
(802) 362-5344
NPI assigned
Jul 29, 2006
Last updated
Aug 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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 0400002050 VT Primary

Addresses

Primary practice location

7252 Route 7a, Suite H
Metzger & Mole Physical Therapy
Manchester Center, VT 05255-1632

Mailing address

PO Box 1632
Metzger & Mole Physical Therapy
Manchester Center, VT 05255-1632
Phone (802) 362-1334

Other identifiers 3

IdentifierTypeStateIssuer
00002799OtherBLUE CROSS BLUE SHIELD VT
1007642MedicaidVT
7998591OtherAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061002000187 VT Practitioner - Physical Therapist in Private Practice 2567467202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kewi Health PLLCGroup PAC ID 5799140562, 4 clinicians

Practice addresses (Care Compare)

5468 Main St
Manchester Center, VT 05255-9481
Phone (802) 362-1334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kathy Metzger PT PLC Physical Therapist CurrentSince Jan 1, 1990 Accepting new patients
Kewi Health PLLC Physical Therapist CurrentSince Feb 11, 2023 Accepting new patients

Locations

7252 Main St
Manchestr Ctr, VT 05255
Phone (802) 362-1334

Organizations & group practices 3

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1417962713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1632",
            "address_2": "METZGER & MOLE PHYSICAL THERAPY",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052551632",
            "telephone_number": "802-362-1334",
            "fax_number": "802-362-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7252 ROUTE 7A, SUITE H",
            "address_2": "METZGER & MOLE PHYSICAL THERAPY",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052551632",
            "telephone_number": "802-362-1334",
            "fax_number": "802-362-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER",
        "first_name": "KATHY",
        "middle_name": "VAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400002050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD VT",
            "identifier": "00002799",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007642",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7998591",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester Center, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.