Jannick Vicky Vielleuse, MS PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT025913 Issued in PA

Practice address

1208 Tasker Street
2ND Floor
Philadelphia, PA 19148

Phone

(215) 271-4100

NPI assigned

Sep 21, 2017

Sex

Female

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

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Head and Neck Physical Therapy LLC

  • Physical Therapist
  • Westford, VT
  • NPI 1275480709
  NPD Authorized official
• Atlantic Physical Therapy Group PA LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1588956882
  NPD (past)

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326557331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 TASKER ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481019",
            "telephone_number": "215-271-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 TASKER STREET",
            "address_2": "2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19148",
            "telephone_number": "215-271-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIELLEUSE",
        "first_name": "JANNICK",
        "middle_name": "VICKY",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vidya S. Banka M.D. Associates PC
• Lucia Viegas-Barros, LCSW
• Carlos J Vieira, MD
• Katy Vieira
• Joan Vieldhouse
• Alice Vienneau, DPT
• Karl Vieweg
• Federico Viganego, M.D.
• Sage Storm Vigers, CNM
• Matthew Frank Viggiano, MD

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.