Susan W Varghese, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24437 Issued in FL

Practice address

2021 E Commercial Blvd Ste 308
Fort Lauderdale, FL 33308-3769

Phone

(954) 323-4484

NPI assigned

Nov 5, 2010

Sex

Female

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 2

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.

• Infinity Wellness Corp

  • Home Health Agency
  • Fort Lauderdale, FL
  • NPI 1053068437
  NPD Authorized official

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1497056584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E COMMERCIAL BLVD STE 308",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083769",
            "telephone_number": "954-323-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E COMMERCIAL BLVD STE 308",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083769",
            "telephone_number": "954-323-4484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12424 NW 80th Pl",
            "address_purpose": "LOCATION",
            "city": "Parkland",
            "state": "FL",
            "postal_code": "330764946",
            "country_code": "US",
            "telephone_number": "954-665-6417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1786 NW Boca Raton Blvd",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334321616",
            "country_code": "US",
            "telephone_number": "561-368-6920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "SUSAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37033",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF FLORIDA",
            "identifier": "PT24437",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "PT37033",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie W Vargas
• Carlos Vargas, M.D.
• Daisha Vargas, LMFT
• Melanie Vargas
• Ramon Alberto Vargas, MD
• Vanessa Renae Vargo
• Variety Children'S Hospital, Inc.
• Robin Varon, P.T.
• Lena Marie Varone, DMD
• Michael Varvaro, D.O.

• Physical Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.