Individual provider Active NPI

Kaitlin Mary Rowe

  • Physical Therapist
  • Williston, VT
National Provider Identifier
1962376830
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040.0134959PROV Issued in VT
Practice address
426 Industrial Ave Ste 190
Williston, VT 05495-7904
Phone
(802) 860-4360
NPI assigned
Oct 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 040.0134959PROV VT Primary

Addresses

Primary practice location

426 Industrial Ave Ste 190
Williston, VT 05495-7904

Mailing address

212 Connor Dr
Rutland, VT 05701-9374

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251224001353 VT Practitioner - Physical Therapist in Private Practice 7618462854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Vermont College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT 360 IncGroup PAC ID 0749469906, 18 clinicians

Practice addresses (Care Compare)

426 Industrial Ave
Suite 190
Williston, VT 05495-7904
Phone (802) 860-4360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040.0134959PROVVTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT 360 Inc Physical Therapist CurrentSince Dec 15, 2025 Accepting new patients

Locations

80 Colchester Ave
Burlington, VT 05401
Phone (802) 657-7990

426 Industrial Ave
Ste 190
Williston, VT 05495
Phone (802) 657-7990

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": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1962376830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CONNOR DR",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057019374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 INDUSTRIAL AVE STE 190",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957904",
            "telephone_number": "802-860-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "KAITLIN",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0134959PROV",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 2, 2025; 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.