Active NPI
TMS VT, LLC
- Durable Medical Equipment & Medical Supplies
- South Burlington, VT
National Provider Identifier
1629141262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- TMS VT, LLC
- Doing business as
- The Medical Store
- Practice address
- 1225 Airport Pkwy Ste a
South Burlington, VT 05403-5805 - Phone
- (802) 368-6019
- Fax
- (802) 862-6482
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Russalesi
- Title
- Cco
- Phone
- (484) 246-9499
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1225 Airport Pkwy Ste a
South Burlington, VT 05403-5805
Mailing address
555 E North LN Ste 5075
Conshohocken, PA 19428-2490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013543 | Medicaid | VT |
Other names 1
- The Medical Store
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930068807 | VT | DME Supplier - Medical Supply Company | 9436353117 | Practice locations: South Burlington, VT |
National Provider Directory
National Provider Directory- Tax ID family
- TMS VT LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Barre, VT
- NPI 1508082116
-
- Oxygen Equipment & Supplies (DME)
- Manchester, NH
- NPI 1114697646
Locations
1225 Airport Pkwy
South Burlington, VT 05403
Phone (802) 864-0908
1225 Airport Pkwy
Ste A
South Burlington, VT 05403
Phone (802) 368-6019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779148800000",
"number": "1629141262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E NORTH LN STE 5075",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 AIRPORT PKWY STE A",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054035805",
"telephone_number": "802-368-6019",
"fax_number": "802-862-6482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TMS VT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A",
"authorized_official_last_name": "RUSSALESI",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "CCO",
"authorized_official_telephone_number": "484-246-9499"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013543",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Medical Store",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.