Individual provider Active NPI

Rebecca Meryman, DPT

  • Physical Therapist
  • Shelburne, VT
National Provider Identifier
1760006340
Registry record updated May 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
120 Graham Way Ste 110
Shelburne, VT 05482-7217
Phone
(802) 985-9360
NPI assigned
May 30, 2020
Last updated
May 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2020

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 Primary

Addresses

Primary practice location

120 Graham Way Ste 110
Shelburne, VT 05482-7217

Mailing address

1000 Main Rd Apt 2
Richmond, VT 05477-8826
Phone (949) 430-9193

Other names 1

  • Rebecca Gever Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200629000373 VT Practitioner - Physical Therapist in Private Practice 1658793229 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PT 360 Inc Physical Therapist CurrentSince Jun 25, 2020 Accepting new patients

Locations

120 Graham Way
Ste 110
Shelburne, VT 05482
Phone (802) 657-7990

426 Industrial Ave
Ste 190
Williston, VT 05495
Phone (802) 657-7990

Organizations & group practices 1

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": "1590796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590796800000",
    "number": "1760006340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MAIN RD APT 2",
            "city": "RICHMOND",
            "state": "VT",
            "postal_code": "054778826",
            "telephone_number": "949-430-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 GRAHAM WAY STE 110",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827217",
            "telephone_number": "802-985-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERYMAN",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-30",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "GEVER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelburne, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.