Individual provider Active NPI

Dawn Theresa Vigue, OTR

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1306499173
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
119983 Issued in TX
Practice address
21626 Stonewall Pkwy Apt 4402
San Antonio, TX 78256-1724
Phone
(860) 995-3766
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 119983 TX Primary

Addresses

Primary practice location

21626 Stonewall Pkwy Apt 4402
San Antonio, TX 78256-1724

Mailing address

21626 Stonewall Pkwy Apt 4402
San Antonio, TX 78256-1724
Phone (860) 995-3766

Other practice location 1

4553 N Loop 1604 W Ste 1119
San Antonio, TX 78249-1364
Phone (877) 434-4317

Other names 1

  • Mrs. Dawn Theresa Vigue Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
119983TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1306499173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21626 STONEWALL PKWY APT 4402",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561724",
            "telephone_number": "860-995-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21626 STONEWALL PKWY APT 4402",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561724",
            "telephone_number": "860-995-3766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4553 N Loop 1604 W Ste 1119",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782491364",
            "country_code": "US",
            "telephone_number": "877-434-4317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIGUE",
        "first_name": "DAWN",
        "middle_name": "THERESA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "119983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "VIGUE",
            "middle_name": "THERESA",
            "prefix": "MRS.",
            "credential": "DAWN VIGUE, OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.