Kathleen Soliven Vargas, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

048699-01 Issued in NY

Practice address

1 Blue Hill Plaza, Suite 1509
Pearl River, NY 10965

Phone

(877) 839-6979

NPI assigned

Jul 28, 2022

Reactivated

Oct 19, 2023

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

87.87 of 100Reported as group

Quality

88.31

Improvement activities

40

Cost

69.4

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.

• Smile Stride Physical Therapy PC

  • Physical Therapist
  • Elmhurst, NY
  • NPI 1699564880
  Medicare reassignment NPD
• Physical Care PT PC

  • Physical Medicine & Rehabilitation Physician
  • Richmond Hill, NY
  • NPI 1295449049

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1083340459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2350",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956778350",
            "telephone_number": "347-829-3890",
            "fax_number": "347-829-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLUE HILL PLAZA, SUITE 1509",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "10965",
            "telephone_number": "877-839-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "KATHLEEN",
        "middle_name": "SOLIVEN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2023-10-19",
        "certification_date": "2023-03-13",
        "deactivation_date": "2023-03-13",
        "reactivation_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048699-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hiroko Tsukada
• Sonya Tulevech, LCSW-R
• Joy Vanderberg
• Stephanie Vanderploeg
• Dawn Vanskyock
• Jasmine Velasquez
• Raymond Geronimo Velez, INTERPRETER
• Jeanne Venitelli
• Dylan Vergara
• Mary Vermazen

• Physical Therapist in Pearl River, NY
• Providers in Pearl River, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.