Antonio Joaquin Varela, DPT MHSC MTC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60017380 Issued in WA

Practice address

5210 Corporate Center CT SE
Suite D
Lacey, WA 98503-5952

Phone

(360) 455-8155

Fax

(360) 455-1655

NPI assigned

Jul 12, 2007

Last updated

Jul 29, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Intelligence LLC

  • Orthopedic Physical Therapist
  • St Augustine, FL
  • NPI 1942533591
  Authorized official Same address or phone
• Physical Intelligence St. Augustine

  • Physical Therapy Clinic/Center
  • St Augustine, FL
  • NPI 1952625162
  NPD (past) Authorized official
• Body Owners Physical Therapy & Wellness Center, LLC

  • Physical Therapist
  • Apopka, FL
  • NPI 1720151723
  NPD (past)
• Medical Arts Rehabilitation Inc

  • Physical Therapist
  • Palmetto, FL
  • NPI 1730164286
  NPD (past)
• Total Therapy Solutions LLC

  • Rehabilitation Practitioner
  • Monroe, OH
  • NPI 1114973104

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1487853354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 MOSES CREEK BLVD",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-616-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 CORPORATE CENTER CT SE",
            "address_2": "SUITE D",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035952",
            "telephone_number": "360-455-8155",
            "fax_number": "360-455-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARELA",
        "first_name": "ANTONIO",
        "middle_name": "JOAQUIN",
        "name_prefix": "Dr.",
        "credential": "DPT  MHSC  MTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60017380",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "18058",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "2766VA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "2769VA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I CRIME",
            "identifier": "8947463",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "236094",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "6788VA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8873416",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "2767VA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "3456VA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "8525339",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Van Ausdle
• Holly Van Dyk, RN
• Julie K Vanausdal, M.S. CCC-A
• Robert Dewey Vandenberg, M.D.
• Glenda Hendrica Vanhaitsma, R.N.
• Amy Jo Vargas, DNP, ARNP
• Nicole Dominique Jalandoni Vasquez
• Lesley Fiona Vaughan, OTR/L
• Elaine Vaughn, LMHC
• Matthew S Vaughn, MFT

• Physical Therapist in Lacey, WA
• Providers in Lacey, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.