Mr James R Cummings, PT - Medicare Physical Therapist in Essex Junction, VT

Mr James R Cummings, PT is a medicare enrolled "Physical Therapist" provider in Essex Junction, Vermont. He went to University Of Vermont College Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Pt 360 Inc and his current practice location is 1 Market Place, Suites 27 & 33, Essex Junction, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 878-9572.

Mr James R Cummings is licensed to practice in Vermont (license number 0400002601) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164482154.

Contact Information

Mr James R Cummings, PT
1 Market Place, Suites 27 & 33,
Essex Junction, VT 05452
(802) 878-9572
(802) 878-9592

Map and Direction




Healthcare Provider's Profile

Full NameMr James R Cummings
GenderMale
SpecialityPhysical Therapy
Experience33 Years
Location1 Market Place, Essex Junction, Vermont
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr James R Cummings attended and graduated from University Of Vermont College Of Medicine in 1991
  NPI Data:
  • NPI Number: 1164482154
  • Provider Enumeration Date: 03/24/2006
  • Last Update Date: 09/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2365452133
  • Enrollment ID: I20060425000534

Medical Identifiers

Medical identifiers for Mr James R Cummings such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164482154NPI-NPPES
753448OtherCIGNA
18208OtherBLUE CROSS BLUE SHIELD
43V301OtherMVP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 0400002601 (Vermont)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pt 360 Inc074946990621

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr James R Cummings allows following entities to bill medicare on his behalf.
Provider NamePt 360 Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1609183177
PECOS PAC ID: 0749469906
Enrollment ID: O20110120000820

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr James R Cummings is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr James R Cummings, PT
426 Industrial Ave, Ste 190,
Williston, VT 05495-7904

Ph: (802) 489-6245
Mr James R Cummings, PT
1 Market Place, Suites 27 & 33,
Essex Junction, VT 05452

Ph: (802) 878-9572

Reviews and Comments


Physical Therapist in Essex Junction, VT

Dr. Marilyn Ong, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 21 Carmichael St Ste 101, Essex Junction, VT 05452
Phone: 802-878-9572    
Mark Dziadek, MPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 21 Essex Way Ste 106, Essex Junction, VT 05452
Phone: 802-865-2226    
Johnson Therapy Inc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 67 Lincoln St, Essex Junction, VT 05452
Phone: 802-434-3199    
Tory Elana Wilder, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 63 Main St, Essex Junction, VT 05452
Phone: 802-857-5976    Fax: 802-857-5175
Stacey Garcia, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 21 Carmichael St, Essex Junction, VT 05452
Phone: 802-878-9572    
Ms. Esther Elizabeth Halden, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4 Morse Dr, Essex Junction, VT 05452
Phone: 802-857-0144    Fax: 802-857-0192

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.