Active NPI
Denise Elizabeth Stevens, P.T.
- Physical Therapist
- Brattleboro, VT
National Provider Identifier
1881809986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0400003006
- Practice address
- 54 Harris PL
Brattleboro, VT 05301-7127 - Phone
- (802) 258-7557
- NPI assigned
- May 11, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0400003006 | VT | Primary |
Addresses
Primary practice location
54 Harris PL
Brattleboro, VT 05301-7127
Mailing address
1037 Western Ave
Brattleboro, VT 05301-7133
Phone (802) 254-3570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0VN2007 | Medicaid | VT |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0400003006 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Services of Brattleboro Inc | Physical Therapist | Past | 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 and National Provider Directory roles.
-
- Rehabilitation Practitioner
- Brattleboro, VT
- NPI 1649260878
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1881809986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 WESTERN AVE",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053017133",
"telephone_number": "802-254-3570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 HARRIS PL",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053017127",
"telephone_number": "802-258-7557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "DENISE",
"middle_name": "ELIZABETH",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "0400003006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0VN2007",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brattleboro, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.