Sally Drudi, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040-0002294 Issued in VT

Practice address

115 Wellness Dr
Williston, VT 05495-2088

Phone

(802) 860-1358

Fax

(802) 860-1093

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

No

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.

• Associates in Physical and Occupational Therapy

  • Physical Therapist
  • Williston, VT
  • NPI 1093897464
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2011.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1639258338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WELLNESS DR",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054952088",
            "telephone_number": "802-860-1358",
            "fax_number": "802-860-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WELLNESS DR",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054952088",
            "telephone_number": "802-860-1358",
            "fax_number": "802-860-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUDI",
        "first_name": "SALLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040-0002294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "43V026",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "272927",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00008885",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007596",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John William Donnelly, PH.D.
• Richard Harry Dooley, PAC
• James Dougherty, M.D.
• Dowling Dental PLLC
• Dream Jar Farms LLC
• Catherine C Ducasse
• Susan Dumais, BCBA
• Denise M Durant, M.D.
• Corey James Duteau, R.PH
• Charles Scott Earisman, MA

• All providers in Williston, VT
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.