Active NPI
Karen Dela Cruz Villanueva, RPT
- Physical Therapist
- Vancouver, WA
National Provider Identifier
1497982755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5826
- Practice address
- 1609 SE 92ND CT
Vancouver, WA 98664-2860 - Phone
- (360) 737-7527
- NPI assigned
- Jun 15, 2009
- 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 | 5826 | OR | Primary |
Addresses
Primary practice location
1609 SE 92ND CT
Vancouver, WA 98664-2860
Mailing address
2712 NW Edenbower Blvd
Apt 2
Roseburg, OR 97471-6235
Phone (360) 977-0562
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WW0213190 | Other | PHILIPPINE PASSPORT |
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 |
|---|---|---|---|
| 5826 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245024000000",
"number": "1497982755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2712 NW EDENBOWER BLVD",
"address_2": "APT 2",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974716235",
"telephone_number": "360-977-0562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 SE 92ND CT",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986642860",
"telephone_number": "360-737-7527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "KAREN",
"middle_name": "DELA CRUZ",
"name_prefix": "Ms.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-15",
"last_updated": "2009-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5826",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHILIPPINE PASSPORT",
"identifier": "WW0213190",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.