Virgilio Villanueva Asuelo Jr., PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025361 Issued in NY

Practice address

6135 Woodhaven Blvd
Rego Park, NY 11374-2739

Phone

(718) 429-6630

Fax

(718) 429-6584

NPI assigned

May 11, 2008

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

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": "1210464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210464000000",
    "number": "1265609168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9019 210TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281018",
            "telephone_number": "718-740-5432",
            "fax_number": "718-740-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742739",
            "telephone_number": "718-429-6630",
            "fax_number": "718-429-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASUELO",
        "first_name": "VIRGILIO",
        "middle_name": "VILLANUEVA",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-11",
        "last_updated": "2008-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2008; 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.