Sarah A Kieslich, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0400003247 Issued in VT

Practice address

184 Route 7 South
Milton, VT 05468-0776

Phone

(802) 893-7427

Fax

(802) 893-7429

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Sarah A Moulton Former name

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Physical Therapy IncGroup PAC ID 0244200095, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Excel Physical Therapy Inc

  • Physical Therapist
  • Milton, VT
  • NPI 1982708012
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1942394903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776",
            "address_2": "184 ROUTE 7 SOUTH",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054680776",
            "telephone_number": "802-893-7427",
            "fax_number": "802-893-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 ROUTE 7 SOUTH",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054680776",
            "telephone_number": "802-893-7427",
            "fax_number": "802-893-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESLICH",
        "first_name": "SARAH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400003247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00058778",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN2844",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHCARE",
            "identifier": "430051",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MOULTON",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Nasca, MD
• Danielle Juckett, DPT
• Kelley M Tessier LLC
• Nancy Kelley
• Sam Ketaneh
• Wyatt Kilburn
• Jessica Kim
• Julia Friedman Kimball, LICSW
• John G King, M.D.
• Tyler King, PHARMD

• All providers in Milton, VT
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.