Jose Rudy Vergara Vargas Jr.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18479 Issued in MA

Practice address

603 6TH St NW
Winter Haven, FL 33881-4010

Phone

(877) 430-2772

NPI assigned

Nov 18, 2008

Sex

Male

Sole proprietor

Yes

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

Enrolled in MA, FL2 enrollments

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

82.25 of 100Reported as group

Quality

94.96

Improvement activities

40

Cost

47.55

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.

• C3 Wellness, LLC

  • Multi-Specialty Clinic/Center
  • Kissimmee, FL
  • NPI 1811490287

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1487809463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HIRAM RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017012608",
            "telephone_number": "978-618-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 6TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814010",
            "telephone_number": "877-430-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "JOSE RUDY",
        "middle_name": "VERGARA",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Van Horn
• Jennifer Marie Van Ryswyk
• Nicole Lynn Vanderhoof, PTA
• Robert M Vanhook, MD
• Raul Javier Vargas Rivera, MD
• Levy John Varghese
• Brittany Paige Varner, APRN
• Chase Andrew Varner, APRN FNP-C
• Shannon Sarah Varughese, DO
• Vascular Health Institute Inc

• Physical Therapist in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.