Active NPI
Kim Vilardo, PT
- Physical Therapist
- Ticonderoga, NY
National Provider Identifier
1013104942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008426-1
- Practice address
- 1019 Wicker St
Ticonderoga, NY 12883-1039 - Phone
- (518) 585-3810
- Fax
- (518) 585-3822
- NPI assigned
- Sep 25, 2007
- Last updated
- Sep 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 008426-1 | NY | Primary |
Addresses
Primary practice location
1019 Wicker St
Ticonderoga, NY 12883-1039
Mailing address
1019 Wicker St
Ticonderoga, NY 12883-1039
Phone (518) 585-3810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008426-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1013104942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 WICKER ST",
"city": "TICONDEROGA",
"state": "NY",
"postal_code": "128831039",
"telephone_number": "518-585-3810",
"fax_number": "518-585-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 WICKER ST",
"city": "TICONDEROGA",
"state": "NY",
"postal_code": "128831039",
"telephone_number": "518-585-3810",
"fax_number": "518-585-3822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILARDO",
"first_name": "KIM",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-25",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "008426-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ticonderoga, NY
- Dawn Ellen Titus, LPO
- Town of Ticonderoga Board of Education
- Emily Triplett, MD
- William R. Unwin, LCSW
- Annalyn Bantugan Vilardo, PT, DPT, CLWT, GCS
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2424)
- Walgreen Co (Walgreens #18030)
- Wendy Bresett Physical Therapy, P.L.L.C.
- Hayley Jean Woods, PHARM D
- Jessica L Woods, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.