Individual provider Active NPI

Evan Lamothe

  • Physical Therapist
  • Essex Junction, VT
National Provider Identifier
1629920384
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040.0135013 Issued in VT
Practice address
4 Gauthier Dr Ste a
Essex Junction, VT 05452-2825
Phone
(802) 879-7734
NPI assigned
Feb 13, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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 040.0135013 VT Primary

Addresses

Primary practice location

4 Gauthier Dr Ste a
Essex Junction, VT 05452-2825

Mailing address

160 Hawkes Way
Colchester, VT 05446-5992
Phone (802) 923-6243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260605001843 VT Practitioner - Physical Therapist in Private Practice 4183195621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Vermont College of Medicine, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Center of Vermont LLCGroup PAC ID 2163442138, 13 clinicians

Practice addresses (Care Compare)

142 W Twin Oaks Ter
South Burlington, VT 05403-7132
Phone (802) 383-0674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040.0135013VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Center of Vermont LLC Physical Therapist CurrentSince May 11, 2026 Accepting new patients

Locations

4 Gauthier Dr
Ste A
Essex Junction, VT 05452
Phone (802) 879-7734

142 W Twin Oaks Ter
South Burlington, VT 05403
Phone (802) 383-0676

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1629920384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 HAWKES WAY",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465992",
            "telephone_number": "802-923-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GAUTHIER DR STE A",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054522825",
            "telephone_number": "802-879-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOTHE",
        "first_name": "EVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0135013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.