Kristal Vigil, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2114 Issued in NM

Practice address

5150 San Francisco Rd NE Ste B
Albuquerque, NM 87109-4396

Phone

(505) 821-3831

Fax

(505) 212-0786

NPI assigned

Aug 4, 2023

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Balanced Physical Therapy and Wellness, LLC

  • Physical Therapy Clinic/Center
  • Albuquerque, NM
  • NPI 1407234917

  Physical Therapist

  NPD

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1376225615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7849 TRAMWAY BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222529",
            "telephone_number": "505-821-3831",
            "fax_number": "505-212-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 SAN FRANCISCO RD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094396",
            "telephone_number": "505-821-3831",
            "fax_number": "505-212-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "KRISTAL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT2114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn A Vigil
• Johnnie R Vigil, MD
• Johnny Vigil
• Joseph Glenn Vigil, LSAA
• Justina M Vigil, RPH
• Kristine Nina Vigil, MS, CCC-SLP
• Kristy Vigil
• Krystal Vigil, CCC- SLP
• Malia Vigil, SLP
• Maria M Vigil, PA-C

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.