Individual provider Active NPI

Darci Lynn Whitehorne, MSPT

  • Physical Therapist
  • Center Rutland, VT
National Provider Identifier
1427072081
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0400003671 Issued in VT
Practice address
279 Business Route 4 Ste 1
Center Rutland, VT 05736-9701
Phone
(802) 775-4372
Fax
(802) 775-4918
NPI assigned
Jul 27, 2006
Last updated
Sep 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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 0400003671 VT Primary

Addresses

Primary practice location

279 Business Route 4 Ste 1
Center Rutland, VT 05736-9701

Mailing address

5 Albert Cree Dr
Vermont Sports Medicine Center
Rutland, VT 05701
Phone (802) 775-1300

Other identifiers 4

IdentifierTypeStateIssuer
00069063OtherBLUE CROSS BLUE SHIELD VT
1012361MedicaidVT
4147111OtherMVP
7330439OtherAETNA

Other names 1

  • Darci Lynn Munson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060120000752 VT Practitioner - Physical Therapist in Private Practice 0446140461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Physical TherapyGroup PAC ID 1557602539, 2 clinicians

Practice addresses (Care Compare)

279 Business Route 4
Suite 1
Center Rutland, VT 05736-9701
Phone (802) 775-4918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0400003671VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Physical Therapy, PC Physical Therapist Current Accepting new patients
Spine & Sports Injury Center, P.C. Physical Therapist PastSince Jun 15, 2015 Accepting new patients
Vermont Sports Medicine Center Past Accepting new patients
Vermont Sports Medicine Center Physical Therapist PastSince Jun 12, 2003 Accepting new patients
Spine & Sports Injury Center, P.C. PastSince Aug 13, 2023 Accepting new patients

Locations

279 Business Route 4
Ste 1
Ctr Rutland, VT 05736
Phone (802) 775-4372

Organizations & group practices 6

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1427072081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ALBERT CREE DR",
            "address_2": "VERMONT SPORTS MEDICINE CENTER",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "05701",
            "telephone_number": "802-775-1300",
            "fax_number": "802-773-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 BUSINESS ROUTE 4 STE 1",
            "city": "CENTER RUTLAND",
            "state": "VT",
            "postal_code": "057369701",
            "telephone_number": "802-775-4372",
            "fax_number": "802-775-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHORNE",
        "first_name": "DARCI",
        "middle_name": "LYNN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400003671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD VT",
            "identifier": "00069063",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012361",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "4147111",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7330439",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARCI",
            "last_name": "MUNSON",
            "middle_name": "LYNN",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Center Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.