Active NPI
Rona H Vanwilligen, PT
- Physical Therapist
- Edgewood, NM
National Provider Identifier
1447541909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3833
- Practice address
- 1851 Highway 333
2-B
Edgewood, NM 87015 - Phone
- (505) 281-8463
- Fax
- (505) 281-8469
- NPI assigned
- May 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3833 | NM | Primary |
Addresses
Primary practice location
1851 Highway 333
2-B
Edgewood, NM 87015
Mailing address
PO Box 883
Sandia Park, NM 87047-0883
Phone (505) 281-8463
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3833 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1447541909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 883",
"city": "SANDIA PARK",
"state": "NM",
"postal_code": "870470883",
"telephone_number": "505-281-8463",
"fax_number": "505-281-8469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 HIGHWAY 333",
"address_2": "2-B",
"city": "EDGEWOOD",
"state": "NM",
"postal_code": "87015",
"telephone_number": "505-281-8463",
"fax_number": "505-281-8469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANWILLIGEN",
"first_name": "RONA",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-02",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "3833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewood, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.