Healthcare Provider Details

I. General information

NPI: 1225658271
Provider Name (Legal Business Name): DORSET PHYSIO PHYSICAL THERAPY PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2020
Last Update Date: 09/02/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 ROUTE 30
DORSET VT
05251-9661
US

IV. Provider business mailing address

PO BOX 524
DORSET VT
05251
US

V. Phone/Fax

Practice location:
  • Phone: 802-867-7056
  • Fax: 802-440-0280
Mailing address:
  • Phone: 802-867-7056
  • Fax: 802-440-0280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. KELLY RAYE GAIOTTI
Title or Position: CLINIC OWNER, PHYSICAL THERAPIST
Credential: PT, DPT, OCS
Phone: 802-867-7056