Krista Judith Mayer-Plasse, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0126066 Issued in VT

Practice address

137 S Main St
Suite 1
Waterbury, VT 05676-1579

Phone

(802) 244-6859

NPI assigned

Jan 29, 2017

Last updated

Mar 22, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Krista Judith Mayer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1485648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1801333844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 GALLAGHER ACRES",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056769801",
            "telephone_number": "413-883-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761579",
            "telephone_number": "802-244-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER-PLASSE",
        "first_name": "KRISTA",
        "middle_name": "JUDITH",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-29",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0126066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "MAYER",
            "middle_name": "JUDITH",
            "prefix": "MRS.",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Waterbury, VT
• Providers in Waterbury, 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 22, 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.