Individual provider Active NPI

Carey-Leah Havrilko, DPT

  • Physical Therapist
  • Saint Albans, VT
National Provider Identifier
1770866295
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040.0077439 Issued in VT
Practice address
3 Champlain CMNS Ste 1
Saint Albans, VT 05478-1563
Phone
(802) 524-1155
Fax
(802) 524-2664
NPI assigned
Sep 21, 2011
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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 040.0077439 VT Primary

Addresses

Primary practice location

3 Champlain CMNS Ste 1
Saint Albans, VT 05478-1563

Mailing address

3 Champlain CMNS Ste 1
Saint Albans, VT 05478-1563
Phone (802) 524-1155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231221002123 VT Practitioner - Physical Therapist in Private Practice 5092989608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choice Physical Therapy of St Albans LLCGroup PAC ID 0345206462, 5 clinicians

Practice addresses (Care Compare)

3 Champlain CMNS
Suite 1
Saint Albans, VT 05478-1563
Phone (802) 524-1155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040.0077439VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Physical Therapy of St. Albans, LLC Current Accepting new patients
Choice Physical Therapy of St Albans LLC Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Leo L Fong Corporation PastSince Sep 7, 2011 Accepting new patients
Rush-Select Holdings, LLC PastSince Nov 1, 2023 Accepting new patients
Action Physical Therapy Partners, Inc Past Accepting new patients
Montage Surgical Group Past Accepting new patients

Locations

3 Champlain Cmns
#1
Saint Albans, VT 05478
Phone (802) 524-1155

Organizations & group practices 6

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1770866295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CHAMPLAIN CMNS STE 1",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781563",
            "telephone_number": "802-524-1155",
            "fax_number": "802-524-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CHAMPLAIN CMNS STE 1",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781563",
            "telephone_number": "802-524-1155",
            "fax_number": "802-524-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVRILKO",
        "first_name": "CAREY-LEAH",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0077439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.