Taylor Varisco, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10666 Issued in LA

Practice address

10001 Lake Forest Blvd Ste 102
New Orleans, LA 70127-6204

Phone

(504) 281-4521

NPI assigned

Aug 20, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• St. Bernard Physical Therapy Clinic, Inc.

  • Physical Therapist
  • Chalmette, LA
  • NPI 1225350192
  NPD (past)

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1053923946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 HESPER AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053761",
            "telephone_number": "504-606-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 LAKE FOREST BLVD STE 102",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701276204",
            "telephone_number": "504-281-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARISCO",
        "first_name": "TAYLOR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herschel David Vargas, MD
• Manuel Vargas, M.D.
• Joyce M Varghese, D.O.
• Nevin Antony Varghese, M.D
• Catherine Varino, LCSW
• Jerry M Varnado Jr.
• Katey G Varnado, NP
• Shenicka Adams Varnado, LMSW
• Shontra Varnado, LMSW
• Aine Varner

• Physical Therapist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.