Active NPI
Noelle Elizabeth De Geus, DPT
- Physical Therapist
- Bennington, VT
National Provider Identifier
1639680556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040.0126307
- Practice address
- 328 Dewey St
Bennington, VT 05201-2225 - Phone
- (802) 447-2101
- Fax
- (802) 447-1902
- NPI assigned
- Oct 18, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040.0126307 | VT | Primary |
Addresses
Primary practice location
328 Dewey St
Bennington, VT 05201-2225
Mailing address
328 Dewey St
Bennington, VT 05201-2225
Phone (802) 447-2101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Stony Brook, School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16 Danforth St
Hoosick Falls, NY 12090-1226
Phone (518) 686-5770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040.0126307 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Rivers Medical PC | Current | Accepting new patients | |
| Twin Rivers Medical PC | Current | Accepting new patients |
Locations
16 Danforth St
Hoosick Falls, NY 12090
Phone (518) 686-5002
100 Hospital Dr
#44
Bennington, VT 05201
Phone (802) 442-4509
Interoperability endpoints
- https://api.platform.athenahealth.com/3744/brand/4/csg/23/fhir/r4
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Hoosick Falls, NY
- NPI 1699143800
-
- Surgery Physician
- Albany, NY
- NPI 1063229458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508284800000",
"number": "1639680556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 DEWEY ST",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052012225",
"telephone_number": "802-447-2101",
"fax_number": "802-447-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 DEWEY ST",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052012225",
"telephone_number": "802-447-2101",
"fax_number": "802-447-1902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE GEUS",
"first_name": "NOELLE",
"middle_name": "ELIZABETH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-18",
"last_updated": "2017-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040.0126307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bennington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.