Jillian Vogus, DPT

Individual provider Active NPI Physical Therapist · Cabot, PA

NPI 1225570534 · NPPES record last updated Nov 17, 2016

Key facts

NPI
1225570534
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT025295 (PA)
Practice address
292 Star Grille Rd
Cabot, PA 16023-9733
Phone
(724) 355-0740
NPI assigned
Nov 17, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT025295PAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT025295 PA Yes

Addresses

Primary practice location

292 Star Grille Rd
Cabot, PA 16023-9733

Mailing address

292 Star Grille Rd
Cabot, PA 16023-9733

Other providers in Cabot, PA

All providers in Cabot, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.