Individual provider Active NPI

Katherine Sisson, DPT

  • Physical Therapist
  • Jeffersonville, VT
National Provider Identifier
1851725352
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040.0095390 Issued in VT
Practice address
5016 Route 15
Jeffersonville, VT 05464
Phone
(802) 644-8011
Fax
(802) 893-7429
NPI assigned
Sep 3, 2013
Last updated
Jan 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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 040.0095390 VT Primary

Addresses

Primary practice location

5016 Route 15
Jeffersonville, VT 05464

Mailing address

P.O. Box 103
Jeffersonville, VT 05464
Phone (802) 644-8011

Other identifiers 1

IdentifierTypeStateIssuer
1022195MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131107000905 VT Practitioner - Physical Therapist in Private Practice 5799910386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Vermont College of Medicine, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Brian Aucter Physical Therapy PLCGroup PAC ID 6800264680, 4 clinicians

Practice addresses (Care Compare)

5016 Route 15
Jeffersonville, VT 05464-0000
Phone (802) 644-8011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040.0095390VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Aucter Physical Therapy PLC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients

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": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1851725352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 103",
            "city": "JEFFERSONVILLE",
            "state": "VT",
            "postal_code": "05464",
            "telephone_number": "802-644-8011",
            "fax_number": "802-644-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 ROUTE 15",
            "city": "JEFFERSONVILLE",
            "state": "VT",
            "postal_code": "05464",
            "telephone_number": "802-644-8011",
            "fax_number": "802-893-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISSON",
        "first_name": "KATHERINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0095390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022195",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.