Individual provider Active NPI

Kerry McCarthy, DPT

  • Physical Therapist
  • Barre, VT
National Provider Identifier
1659521102
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040-0003800 Issued in VT
Practice address
652 Granger Rd
Barre, VT 05641-5369
Phone
(802) 522-2508
NPI assigned
Sep 21, 2008
Last updated
Sep 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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 040-0003800 VT Primary

Addresses

Primary practice location

652 Granger Rd
Barre, VT 05641-5369

Mailing address

652 Granger Rd
Barre, VT 05641-5369
Phone (802) 522-2508

Other practice location 1

30 Hawthorne St
Williston, VT 05495-8212
Phone (802) 876-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081106000161 VT Practitioner - Physical Therapist in Private Practice 9234298274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Vermont College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Confluence, IncGroup PAC ID 9133576762, 2 clinicians

Practice addresses (Care Compare)

652 Granger Rd
Suite 1
Barre, VT 05641-5363
Phone (802) 222-0201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040-0003800VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Physio, LLP Physical Therapist Current Accepting new patients
The Confluence, Inc. Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients

Locations

652 Granger Rd
Barre, VT 05641
Phone (802) 223-4200

652 Granger Rd
Ste 1
Barre, VT 05641
Phone (802) 222-0201

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1221955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1659521102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 GRANGER RD",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056415369",
            "telephone_number": "802-522-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 GRANGER RD",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056415369",
            "telephone_number": "802-522-2508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Hawthorne St",
            "address_purpose": "LOCATION",
            "city": "Williston",
            "state": "VT",
            "postal_code": "054958212",
            "country_code": "US",
            "telephone_number": "802-876-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "KERRY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-21",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040-0003800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barre, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.