Individual provider Active NPI

Catherine A Webster, PT

  • Physical Therapist
  • Williston, VT
National Provider Identifier
1942269550
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040-002985 Issued in VT
Practice address
30 Hawthorne St
Williston, VT 05495-8212
Phone
(803) 876-6000
Fax
(802) 876-6003
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 040-002985 VT Primary

Addresses

Primary practice location

30 Hawthorne St
Williston, VT 05495-8212

Mailing address

82 Townline Rd
Grand Isle, VT 05458-2562
Phone (802) 372-3217

Other identifiers 7

IdentifierTypeStateIssuer
00860916OtherVTTRICARE
1006931MedicaidVT
230438OtherVTCIGNA-LOCAL
29166OtherVTBC/BS
9746108OtherVTCIGNA-NATIONAL
363323OtherVTMVP
4689601OtherVTFAHC-VMC PREFFERED APEX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120710000429 VT Practitioner - Physical Therapist in Private Practice 6709041171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Rehabgym IncGroup PAC ID 5092619411, 23 clinicians

Practice addresses (Care Compare)

905 Roosevelt Hwy
Suite 115
Colchester, VT 05446-4475
Phone (802) 861-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040-002985VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Rehabgym Inc Physical Therapist CurrentSince Sep 29, 2017 Accepting new patients

Locations

219 N Main St
Ste 103
Barre, VT 05641
Phone (802) 479-4000

905 Roosevelt Hwy
Ste 115
Colchester, VT 05446
Phone (802) 861-0111

373 Blair Park Rd
Unit 100
Williston, VT 05495
Phone (802) 876-6000

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.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942269550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 TOWNLINE RD",
            "city": "GRAND ISLE",
            "state": "VT",
            "postal_code": "054582562",
            "telephone_number": "802-372-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HAWTHORNE ST",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958212",
            "telephone_number": "803-876-6000",
            "fax_number": "802-876-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040-002985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "00860916",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006931",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA-LOCAL",
            "identifier": "230438",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "29166",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA-NATIONAL",
            "identifier": "9746108",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "363323",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAHC-VMC PREFFERED APEX",
            "identifier": "4689601",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, 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.
  • 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.