Active NPI
Katherine Bertaut, DPT
- Physical Therapist
- Brookline, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL89142
- Practice address
- 1101 Beacon St FL 5
Brookline, MA 02446-5587 - Phone
- (617) 232-6633
- Fax
- (617) 232-6832
- NPI assigned
- Jun 28, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL89142 | MA | Primary |
| Physical Therapist | 225100000X | PTL.0019218 | CO |
Addresses
Primary practice location
1101 Beacon St FL 5
Brookline, MA 02446-5587
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206
Other practice location 1
181 W Meadow Dr
Vail, CO 81657-5242
Phone (970) 476-1225
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | VVMC.DIRECT@direct.vvmc.com | Health Information Exchange (HIE) | Vail Clinic, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, MA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Beacon St
Brookline, MA 02446-5587
Phone (617) 232-6633
181 W Meadow Dr
Vail Health Hospital
Vail, CO 81657-5242
Phone (970) 476-2451
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.38 of 100
- Quality
- 55.42
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 65.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0019218 | CO | MD | Physical Therapist |
| PTL89142 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vail Clinic, Inc. | Current | Accepting new patients | |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Vail Clinic, Inc. | Current | Accepting new patients | |
| Carl Gustafson LLC | Physical Therapist | Past | Accepting new patients |
Locations
1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800
320 Beard Creek Rd
Ste 1100
Edwards, CO 81632
Phone (970) 569-7638
181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225
180 S Frontage Rd W
Vail, CO 81657
Phone (866) 247-3141
181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036
33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703
1101 Beacon St
Brookline, MA 02446
Phone (617) 232-6633
1101 Beacon St
Fl 5
Brookline, MA 02446
Phone (617) 232-6633
Interoperability endpoints
- vvmc.direct@direct.vvmc.com
Organizations & group practices 5
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.
-
- Physical Therapist
- West Springfield, MA
- NPI 1710919063
-
- General Acute Care Hospital
- Vail, CO
- NPI 1992812333
-
- Durable Medical Equipment & Medical Supplies
- Wilbraham, MA
- NPI 1376140566
Physical Therapist
-
- General Acute Care Hospital
- Edwards, CO
- NPI 1659151009
-
- Physical Therapist
- Wellesley, MA
- NPI 1356366082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1710664115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211",
"telephone_number": "866-370-8206",
"fax_number": "517-435-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 BEACON ST FL 5",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465587",
"telephone_number": "617-232-6633",
"fax_number": "617-232-6832"
}
],
"practiceLocations": [
{
"address_1": "181 W Meadow Dr",
"address_purpose": "LOCATION",
"city": "Vail",
"state": "CO",
"postal_code": "816575242",
"country_code": "US",
"telephone_number": "970-476-1225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERTAUT",
"first_name": "KATHERINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-28",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PTL89142",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0019218",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "VVMC.DIRECT@direct.vvmc.com",
"affiliation": "Y",
"affiliationName": "Vail Clinic, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "181 W Meadow Dr",
"city": "Vail",
"state": "CO",
"country_code": "US",
"postal_code": "816575242",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.