Gretchen Vergara

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3126 Issued in SC

Practice address

718 S Dargan St
Florence, SC 29506-2561

Phone

(843) 673-2694

NPI assigned

Sep 10, 2014

Sex

Female

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)

Not enrolled

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1073914040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 ASTER DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017573",
            "telephone_number": "352-727-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 S DARGAN ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062561",
            "telephone_number": "843-673-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGARA",
        "first_name": "GRETCHEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "3126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarvis Lamar Vaughn, MD
• Winston Wallace Vaught Jr., MD
• Jennifer Wall Vause, RN
• Nicole Vazquez Plaza, MD
• Grisell Veliz
• Philip L Verjans, PT
• Oorja Verma, M.D.
• Nathan Thomas Vernon
• Veteran Village Pharmacy
• Vibrant Diagnostics LLC

• Physical Therapy Assistant in Florence, SC
• Providers in Florence, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.