Mary C Vega, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5676 Issued in FL

Practice address

2200 Kings Hwy Unit 2F
Port Charlotte, FL 33980-5760

Phone

(941) 888-4561

Fax

(941) 347-4695

NPI assigned

Mar 25, 2020

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

Other names 1

• Mary C Webster Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Peace River Physical Therapy & Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Port Charlotte, FL
  • NPI 1285104828

  Physical Therapist

  NPD

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1144857699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510326",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339510326",
            "telephone_number": "941-888-4561",
            "fax_number": "941-347-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 KINGS HWY UNIT 2F",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339805760",
            "telephone_number": "941-888-4561",
            "fax_number": "941-347-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT5676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WEBSTER",
            "middle_name": "C",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard E Vasquez, MD
• Denise Vaughn
• Armando Vazquez, APRN
• Tanya C Vazquez, LMHC
• VCV Hearing Labs, LLC
• Satish Velagapudi, M.D
• Brandon Lee Velazquez-Colom
• Carlos Alberto Velez, MD
• Giuseppe Ventre, M.D.
• Jovanni H Villadarez, M.D.

• Physical Therapist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.