Active NPI
Brenna Christine Militello, PT, DPT
- Physical Therapist
- Newport, VT
National Provider Identifier
1437491065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040.0093160
- Practice address
- 35 Bel Aire Dr
Newport, VT 05855-4953 - Phone
- (802) 334-2878
- NPI assigned
- Mar 21, 2013
- Last updated
- Mar 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040.0093160 | VT | Primary |
Addresses
Primary practice location
35 Bel Aire Dr
Newport, VT 05855-4953
Mailing address
154 Memphremagog VW
Newport, VT 05855-4920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040.0093160 | VT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1437491065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 MEMPHREMAGOG VW",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058554920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 BEL AIRE DR",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058554953",
"telephone_number": "802-334-2878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILITELLO",
"first_name": "BRENNA",
"middle_name": "CHRISTINE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-21",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040.0093160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.