Proactive Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROACTIVE PHYSICAL THERAPY

Practice address

279 Business Route 4 Ste 1
Center Rutland, VT 05736-9701

Phone

(802) 775-4372

NPI assigned

Dec 27, 2018

Last updated

Sep 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darci Lynn WhitehorneNPI 1427072081

Title

Owner

Phone

(802) 775-4372

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darci Lynn Whitehorne, MSPT

  • Physical Therapist
  • Center Rutland, VT
  • NPI 1427072081
  Medicare reassignment Care Compare group Authorized official
• Susan Morgan Mandel, PT

  • Physical Therapist
  • Center Rutland, VT
  • NPI 1922625110
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1942772207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 BUSINESS ROUTE 4 STE 1",
            "city": "CENTER RUTLAND",
            "state": "VT",
            "postal_code": "057369701",
            "telephone_number": "802-775-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 BUSINESS ROUTE 4 STE 1",
            "city": "CENTER RUTLAND",
            "state": "VT",
            "postal_code": "057369701",
            "telephone_number": "802-775-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "WHITEHORNE",
        "authorized_official_first_name": "DARCI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-775-4372"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri R Henderson, LMT
• Integrated Neurology PC (Ashcroft Chiropractic Center)
• Susan Morgan Mandel, PT
• Aleksandra Martin, CMT
• Holly L Politis
• Proactive Physical Therapy, PC
• Nicole E Underwood
• Jean Marie Walker, MSSW
• Darci Lynn Whitehorne, MSPT
• Wolf Healing Arts

• Physical Therapist in Center Rutland, VT
• Providers in Center Rutland, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.