Active NPI
Rene Pacificador Villegas
- Physical Therapist
- Bellefonte, PA
National Provider Identifier
1194240879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019640
- Practice address
- 502 East Howard St.
Bellefonte, PA 17745 - Phone
- (814) 355-6884
- NPI assigned
- Aug 3, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT019640 | PA | Primary |
Addresses
Primary practice location
502 East Howard St.
Bellefonte, PA 17745
Mailing address
502 E Howard St
Bellefonte, PA 16823-2128
Phone (814) 355-6884
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT019640 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1194240879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 E HOWARD ST",
"city": "BELLEFONTE",
"state": "PA",
"postal_code": "168232128",
"telephone_number": "814-355-6884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 EAST HOWARD ST.",
"city": "BELLEFONTE",
"state": "PA",
"postal_code": "17745",
"telephone_number": "814-355-6884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLEGAS",
"first_name": "RENE",
"middle_name": "PACIFICADOR",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT019640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellefonte, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.