Verzosa Agustin Corporation

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

PT2169 Issued in TN

Legal business name

VERZOSA AGUSTIN CORPORATION

Doing business as

Core rehabilitation center

Practice address

1293 Highway 11W
Suite B
Bean Station, TN 37708-5810

Phone

(423) 312-6325

NPI assigned

Aug 4, 2011

Last updated

Aug 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cecilia Agustin Verzosa, P.T.

Title

President

Phone

(423) 312-6325

Specialties & licenses 1

Addresses

Other names 1

• Core rehabilitation center Doing business as

Locations

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1225317597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4834 FOWLER DR",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378147704",
            "telephone_number": "423-312-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 HIGHWAY 11W",
            "address_2": "SUITE B",
            "city": "BEAN STATION",
            "state": "TN",
            "postal_code": "377085810",
            "telephone_number": "423-312-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERZOSA AGUSTIN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "VERZOSA",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "AGUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-312-6325",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TN",
            "license": "PT2169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core rehabilitation center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rehabilitation Clinic/Center in Bean Station, TN
• Providers in Bean Station, TN by specialty
• Rehabilitation Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.