Deirdre Vira, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01860100 Issued in NJ

Practice address

1212 Highway 34 Ste 24-25
Aberdeen, NJ 07747-1903

Phone

(732) 970-7882

Fax

(732) 970-7883

NPI assigned

Jun 24, 2019

Last updated

Jun 24, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Proform Physical Therapy LLC

  dba ProFysio Physical Therapy

  • Physical Therapist
  • Old Bridge, NJ
  • NPI 1033646625
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1205497971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 HIGHWAY 34 STE 24-25",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077471903",
            "telephone_number": "732-970-7882",
            "fax_number": "732-970-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 HIGHWAY 34 STE 24-25",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077471903",
            "telephone_number": "732-970-7882",
            "fax_number": "732-970-7883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2124 Route 35",
            "address_purpose": "LOCATION",
            "city": "Holmdel",
            "state": "NJ",
            "postal_code": "077331084",
            "country_code": "US",
            "telephone_number": "732-970-7882",
            "fax_number": "732-970-7883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2665 Highway 516 Ste 13-14",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088572300",
            "country_code": "US",
            "telephone_number": "732-970-7882",
            "fax_number": "732-970-7883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Route 18",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088163092",
            "country_code": "US",
            "telephone_number": "732-970-7882",
            "fax_number": "732-970-7883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIRA",
        "first_name": "DEIRDRE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01860100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Speech Room
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• V.K. Perkari M.D. LLC
• Alessandra Ventura, LPC
• Suzanna Vreeland, LMT
• Andrea Winzer
• Melanie Wright, OTD, OTR/L
• YMCA of the Jersey Shore
• YMCA of the Jersey Shore

• Physical Therapist in Aberdeen, NJ
• Providers in Aberdeen, 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 Jun 24, 2019; 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.