Katheryn S Guerino, PT
Individual provider Active NPI Physical Therapist · Saint Albans, VT
NPI 1992815575 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992815575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0400003511 (VT)
- Practice address
- 133 Fairfield St
Saint Albans, VT 05478-1726 - Phone
- (802) 524-1064
- Fax
- (802) 524-1025
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0400003511 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Physical Therapy Inc | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0400003511 | VT | Yes |
Addresses
Primary practice location
133 Fairfield St
Saint Albans, VT 05478-1726
Mailing address
133 Fairfield St
PO Box 1370
Saint Albans, VT 05478-1726
Phone (802) 524-1064
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00059120 | Other | VT | BLUE CROSS BLUE SHIELD |
| 391591 | Other | MVP HEALTHCARE | |
| 0VN3014 | Medicaid | VT |
Other names
- Katheryn S Tarr
Other providers in Saint Albans, VT
- Whitney Grennon
- Cristine Griffing
- Brenna Griswold
- Katherine Grochowski
- David A Groening
- Matthew Habedank
- Christa Nicole Hackney
- Lauren Hale
- Sandy Haller
- Masha Harris
All providers in Saint Albans, VT · Physical Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.