Apollo Armando Villanoa Vergara, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01131900 Issued in NJ

Practice address

113 Hastings Dr
Galloway, NJ 08205-4680

Phone

(609) 478-1524

Fax

(609) 478-1524

NPI assigned

Mar 8, 2007

Sex

Male

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 NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Exercise Angels LLCGroup PAC ID 0446623995, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Exercise Angels LLC

  • Physical Therapist
  • Galloway, NJ
  • NPI 1033835905
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1124159181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 HASTINGS DR",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054680",
            "telephone_number": "609-442-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HASTINGS DR",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054680",
            "telephone_number": "609-478-1524",
            "fax_number": "609-478-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGARA",
        "first_name": "APOLLO ARMANDO",
        "middle_name": "VILLANOA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01131900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Turpen, DMD
• Waqas Ullah, M.D.
• Jeffrey E Vanhook, DO
• Viren Vankawala, MD
• Vantage Eyecare, LLC
• Elaine R Vergara, PHYSICAL THERAPIST
• Village Super Market of NJ LP
• Visiting Therapist,LLC
• Michael Vlassakis
• Voca Corporation of New Jersey

• Physical Therapist in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.