Individual provider Active NPI

Marjorie Aquino Vilo, OTR/L

  • Pediatric Occupational Therapist
  • Louisville, KY
National Provider Identifier
1154500155
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
KY-R3543 Issued in KY
Practice address
16700 Glen Lakes Drive
Louisville, KY 40245-5313
Phone
(502) 370-7333
Fax
(502) 384-4087
NPI assigned
Oct 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X KY-R3543 KY
Pediatric Occupational Therapist 225XP0200X KY-R3543 KY Primary

Addresses

Primary practice location

16700 Glen Lakes Drive
Louisville, KY 40245-5313

Mailing address

16700 Glen Lakes Drive
Louisville, KY 40245-5313
Phone (502) 370-7333

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

State licenses

LicenseStateTypeSpecialty
KY-R3543KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Unlimited, Incorporated Current Accepting new patients
Infinite Path Solutions LLC Pediatrics Current Accepting new patients
Phoenix Infinity Group LLC Current Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1154500155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16700 GLEN LAKES DRIVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455313",
            "telephone_number": "502-370-7333",
            "fax_number": "502-384-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16700 GLEN LAKES DRIVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455313",
            "telephone_number": "502-370-7333",
            "fax_number": "502-384-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILO",
        "first_name": "MARJORIE",
        "middle_name": "AQUINO",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "KY-R3543",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "KY-R3543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.