Active NPI
Ruth Ellen Dennis, OTR
- Occupational Therapist
- Fayston, VT
National Provider Identifier
1801953906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 072-0000051
- Practice address
- 2385 N. Fayston Rd.
Fayston, VT 05673-0455 - Phone
- (802) 496-2353
- NPI assigned
- Jan 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 072-0000051 | VT | Primary |
Addresses
Primary practice location
2385 N. Fayston Rd.
Fayston, VT 05673-0455
Mailing address
2385 N. Fayston Rd.
Waitsfield, VT 05673-0455
Phone (802) 496-2353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072-0000051 | Other | VT | OT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072-0000051 | VT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801953906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2385 N. FAYSTON RD.",
"city": "WAITSFIELD",
"state": "VT",
"postal_code": "056730455",
"telephone_number": "802-496-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2385 N. FAYSTON RD.",
"city": "FAYSTON",
"state": "VT",
"postal_code": "056730455",
"telephone_number": "802-496-2353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "RUTH",
"middle_name": "ELLEN",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VT",
"license": "072-0000051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE",
"identifier": "072-0000051",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayston, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.