Ginger Dockum, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

041.0000540 Issued in VT

Practice address

49 Cedar Hill Dr
Windsor, VT 05089-9470

Phone

(802) 674-6609

NPI assigned

Nov 3, 2010

Last updated

Nov 3, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1669773974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 AIRPORT RD",
            "city": "NORTH SPRINGFIELD",
            "state": "VT",
            "postal_code": "051509200",
            "telephone_number": "802-952-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CEDAR HILL DR",
            "city": "WINDSOR",
            "state": "VT",
            "postal_code": "050899470",
            "telephone_number": "802-674-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKUM",
        "first_name": "GINGER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VT",
            "license": "041.0000540",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NH",
            "license": "0706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher C Connor, MD
• Heidi M Cruz, M.D.
• Elizabeth A Derry, RD, CD, CDE
• Katherine Devine, MD
• William Diez, OTR/OTL
• Dorina Kramer, DDS
• Ruth E Dougher
• Elizabeth Smith Therapy, LLC
• Enrico Wensing
• Janet Farley, LICSW

• Physical Therapy Assistant in Windsor, VT
• Providers in Windsor, VT by specialty
• Physical Therapy Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.