Deirdre M. Folsom, PT WCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0400002522 Issued in VT

Practice address

32 Malletts Bay Ave
Winooski, VT 05404-1959

Phone

(802) 847-0080

Fax

(802) 847-0310

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mansfield Physical Therapy Limited Partnership

  • Physical Therapist
  • Essex Junction, VT
  • NPI 1316055924
  NPD (past)
• Phoenix Physical Therapy PLLC

  • Physical Therapist
  • South Burlington, VT
  • NPI 1518909100
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1780643122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MALLETTS BAY AVE",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041959",
            "telephone_number": "802-847-0080",
            "fax_number": "802-847-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MALLETTS BAY AVE",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041959",
            "telephone_number": "802-847-0080",
            "fax_number": "802-847-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLSOM",
        "first_name": "DEIRDRE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "PT WCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400002522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAHC",
            "identifier": "5852001",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TVHP",
            "identifier": "58710",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013234",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11475616",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58710",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "6002139",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Evans
• Kara Joyce Fauth, LICSW
• Christine Elizabeth Fellerhoff, LCSW
• Jonathan Eric Fenton, D.O.
• Evan Robert Laz Flynn, P.T.,D.P.T.
• Cheyenne Kimberley Fowler, APRN
• Elizabeth Rose Gagne, PHARMD, RPH
• Jason Robert Gamelin
• David Gauthier, MA
• Ethan W Gilson

• Physical Therapist in Winooski, VT
• Providers in Winooski, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.