Active NPI
Grace Villanueva
- Physical Therapist
- Winnsboro, LA
National Provider Identifier
1063851533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 804 Polk St
Winnsboro, LA 71295-2350 - Phone
- (318) 435-1550
- NPI assigned
- Jun 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | LA | Primary |
Addresses
Primary practice location
804 Polk St
Winnsboro, LA 71295-2350
Mailing address
4109 Highway 98 W
Summit, MS 39666-9132
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1063851533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4109 HIGHWAY 98 W",
"city": "SUMMIT",
"state": "MS",
"postal_code": "396669132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 POLK ST",
"city": "WINNSBORO",
"state": "LA",
"postal_code": "712952350",
"telephone_number": "318-435-1550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "GRACE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-18",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winnsboro, LA
- Turn-Row Emergency Physicians LLC
- John Tyler Ulmer, MSN, FNP-C
- Victoria Ulmer, CPNP-PC
- United Hands of Care
- Vernon T. Baldwin, M.D.,P.C.
- Virginia Neal (Healing Hands Therapy Services)
- Charlotte Astrid Vivienne Vonn, MD
- W E Marionneaux Jr OD LLC
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0976)
- Wal-Mart Stores Louisiana, LLC (Vision Center 30-0976)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.