Active NPI
Hillary Keating
- Physical Therapist
- Shelburne, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040.0132288
- Practice address
- 120 Graham Way Ste 110
Shelburne, VT 05482-7217 - Phone
- (802) 985-9360
- NPI assigned
- Oct 16, 2015
- Last updated
- Jun 10, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 039016 | NY | |
| Physical Therapist | 225100000X | 040.0132288 | VT | Primary |
Addresses
Primary practice location
120 Graham Way Ste 110
Shelburne, VT 05482-7217
Mailing address
426 Industrial Ave Ste 190
Williston, VT 05495-7904
Phone (802) 598-6245
Other practice location 1
95 University Pl Fl 8
New York, NY 10003-4515
Phone (212) 604-1316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1031715 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
426 Industrial Ave
Suite 190
Williston, VT 05495-7904
Phone (802) 860-4360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT 360 Inc | Physical Therapist | Current | Accepting new patients |
Locations
120 Graham Way
Ste 110
Shelburne, VT 05482
Phone (802) 657-7990
426 Industrial Ave
Ste 190
Williston, VT 05495
Phone (802) 657-7990
Organizations & group practices 1
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.
-
- Physical Therapist
- Williston, VT
- NPI 1609183177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1497126429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 INDUSTRIAL AVE STE 190",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054957904",
"telephone_number": "802-598-6245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 GRAHAM WAY STE 110",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "054827217",
"telephone_number": "802-985-9360"
}
],
"practiceLocations": [
{
"address_1": "95 University Pl Fl 8",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100034515",
"country_code": "US",
"telephone_number": "212-604-1316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEATING",
"first_name": "HILLARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-16",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "039016",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040.0132288",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1031715",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelburne, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.