Erin Gauthier, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

203 Issued in VI

Practice address

1083 Waterloo Geneva Rd
Waterloo, NY 13165-1202

Phone

(315) 539-4049

NPI assigned

Oct 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Erin Davidson Former name

Medicare fee-for-service enrollment

Enrolled in VI, MA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cog Restore, LLCGroup PAC ID 1557665502, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cog Restore, LLC

  • Rehabilitation Clinic/Center
  • St Thomas, VI
  • NPI 1194108761
  Medicare reassignment Care Compare group
• Rehabilitation Services of St Croix

  • Occupational Therapist
  • St Croix, VI
  • NPI 1699851881

  Physical Therapist

  Medicare reassignment NPD
• Virgin Island Orthopedics and Sports Medicine P C

  • Specialist
  • St Thomas, VI
  • NPI 1053390666

  Physical Therapist

  Medicare reassignment NPD
• Protera Health Medical Group, P.C.

  • Orthopaedic Surgery Physician
  • Troy, MI
  • NPI 1649059742

  MA

  Medicare reassignment

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1467705111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WEBSTER AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 WATERLOO GENEVA RD",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651202",
            "telephone_number": "315-539-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "ERIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035635",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207440",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VI",
            "license": "203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "DAVIDSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Cassie Lyn Goldthwait, LAC LMT
• Jennifer Marie Goodison, CTRS
• Daniel Goodman, OPTICIAN
• Philllip Goodman

• Physical Therapist in Waterloo, NY
• Providers in Waterloo, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.