Individual provider Active NPI

Emilie Clark Connor, DPT, PT

  • Physical Therapist
  • Montpelier, VT
National Provider Identifier
1992098198
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040-0067760 Issued in VT
Practice address
81 River St
Montpelier, VT 05602
Phone
(802) 262-1500
NPI assigned
May 20, 2011
Last updated
Apr 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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 040-0067760 VT Primary

Addresses

Primary practice location

81 River St
Montpelier, VT 05602

Mailing address

81 River St
Montpelier, VT 05602-3792
Phone (802) 262-1500

Other practice location 1

9000 Soquel Ave Ste 103
Santa Cruz, CA 95062-2097
Phone (831) 464-8200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000534 VT Practitioner - Physical Therapist in Private Practice 0749459501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essential Physical Therapy and Pilates, LLCGroup PAC ID 2062557630, 5 clinicians

Practice addresses (Care Compare)

81 River St
Suite 201
Montpelier, VT 05602-3750
Phone (802) 262-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040-0067760VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Physical Therapy & Pilates, LLC Physical Therapist CurrentSince Sep 1, 2018 Accepting new patients
Precision Health and Rehabilitation Physical Therapist Past Accepting new patients
Rush-Select Holdings, LLC PastSince Jun 1, 2022 Accepting new patients
Precision Physical Therapy & Fitness Physical Therapist PastSince Feb 1, 2015 Accepting new patients

Locations

81 River St
Ste 201
Montpelier, VT 05602
Phone (802) 262-1500

157 Towne Ave
Plainfield, VT 05667
Phone (802) 322-6613

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1992098198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 RIVER ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023792",
            "telephone_number": "802-262-1500",
            "fax_number": "802-262-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 RIVER ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "05602",
            "telephone_number": "802-262-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Soquel Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950622097",
            "country_code": "US",
            "telephone_number": "831-464-8200",
            "fax_number": "831-295-6735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "EMILIE",
        "middle_name": "CLARK",
        "name_prefix": "Mrs.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-20",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040-0067760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.