Edwin M Villaespn, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PTH1696 Issued in AL

Practice address

409 E 10TH St Ste 305
Anniston, AL 36207-4781

Phone

(256) 238-0110

Fax

(256) 238-5143

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225198245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 RIVER RUN RD W",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359076903",
            "telephone_number": "256-442-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E 10TH ST STE 305",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074781",
            "telephone_number": "256-238-0110",
            "fax_number": "256-238-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAESPN",
        "first_name": "EDWIN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "PTH1696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENS",
            "identifier": "PTH1696",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Wayne Vander Windt, PT
• Kenneth Luckie Vandervoort, MD
• Christine Vanek
• Pratibha Sonam Vashista, D.O.
• Stephen Mark Vaughn
• Jessica Williams Vincent, M.D.
• Vision & Eye Healthcare. LLC
• Vision Onsite LLC
• Ramarao Vullaganti, M D
• Naomi Belle Wade, CRNP

• Specialist in Anniston, AL
• Providers in Anniston, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.