Active NPI
Odette Susan Taylor, PT
- Physical Therapist
- St Albans, VT
National Provider Identifier
1942429519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0400003286
- Practice address
- 3 Home Health Circle
St Albans, VT 05478 - Phone
- (802) 527-7531
- Fax
- (802) 527-7533
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0400003286 | VT | Primary |
| Physical Therapist | 225100000X | PT305 | ME |
Addresses
Primary practice location
3 Home Health Circle
St Albans, VT 05478
Mailing address
67 Sydney Drive
Essex Junction, VT 05452
Phone (802) 872-0873
Other names 1
- Ms. Odette Nehring Taylor
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 |
|---|---|---|---|
| PT305 | ME | MD | Physical Therapist |
| 0400003286 | VT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942429519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 SYDNEY DRIVE",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "05452",
"telephone_number": "802-872-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HOME HEALTH CIRCLE",
"city": "ST ALBANS",
"state": "VT",
"postal_code": "05478",
"telephone_number": "802-527-7531",
"fax_number": "802-527-7533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ODETTE",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "0400003286",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT305",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ODETTE",
"last_name": "TAYLOR",
"middle_name": "NEHRING",
"prefix": "MS.",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in St Albans, 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.