Individual provider Active NPI

Lucia Rodriguez Vargas, PT, DPT

  • Physical Therapist
  • Lebanon, TN
National Provider Identifier
1427488386
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10210 Issued in TN
Practice address
101 Physicians Way Ste 115
Lebanon, TN 37090-8134
Phone
(615) 466-5200
Fax
(615) 466-5206
NPI assigned
Nov 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 28546 FL
Physical Therapist 225100000X 2674 AK
Physical Therapist 225100000X 292717 CA
Physical Therapist 225100000X 10210 TN Primary

Addresses

Primary practice location

101 Physicians Way Ste 115
Lebanon, TN 37090-8134

Mailing address

101 Physicians Way Ste 115
Lebanon, TN 37090-8134
Phone (615) 466-5200

Other practice location 1

30141 Antelope Rd Ste A
Menifee, CA 92584-8066
Phone (951) 723-1866

Other practice location 2

31764 Casino Dr Ste 106
Lake Elsinore, CA 92530-4571
Phone (951) 471-3300

Other practice location 3

25150 Hancock Ave Ste 200
Murrieta, CA 92562-5988
Phone (951) 698-7720

Other practice location 4

126 Avocado Ave Ste 107
Perris, CA 92571-2605
Phone (951) 943-8105

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2674AKMDPhysical Therapist
28546FLMDPhysical Therapist
10210TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Rehabilitation and Performance Center CurrentSince Jun 20, 2022 Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 7, 2022 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Jun 20, 2022 Accepting new patients
Dekalb Comprehensive Physical Therapy Limited Partnership PastSince Mar 1, 2022 Accepting new patients
Star Physical Therapy LP Physical Therapist PastSince Dec 29, 2019 Accepting new patients
All Star Physical Therapy Physical Therapist PastSince Oct 13, 2014 Accepting new patients
Emory Physical Therapy, LLC Past Accepting new patients

Locations

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

2800 Buford Dr
Ste 315
Buford, GA 30519
Phone (678) 450-9933

575 Professional Dr
Ste 370
Lawrenceville, GA 30046
Phone (678) 205-5420

4220 Mundy Mill Pl
Ste 2B
Oakwood, GA 30566
Phone (678) 450-9933

2400 Wisteria Dr
Ste A
Snellville, GA 30078
Phone (770) 982-0102

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1427488386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PHYSICIANS WAY STE 115",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370908134",
            "telephone_number": "615-466-5200",
            "fax_number": "615-466-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PHYSICIANS WAY STE 115",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370908134",
            "telephone_number": "615-466-5200",
            "fax_number": "615-466-5206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30141 Antelope Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925848066",
            "country_code": "US",
            "telephone_number": "951-723-1866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31764 Casino Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925304571",
            "country_code": "US",
            "telephone_number": "951-471-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25150 Hancock Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925625988",
            "country_code": "US",
            "telephone_number": "951-698-7720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Avocado Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925712605",
            "country_code": "US",
            "telephone_number": "951-943-8105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ VARGAS",
        "first_name": "LUCIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "28546",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "2674",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292717",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.