Individual provider Active NPI

Glorisel Rodriguez Villegas, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Altoona, PA
National Provider Identifier
1508034562
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD438515 Issued in PA
Practice address
300 E Walnut Ave
Altoona, PA 16601-5210
Phone
(814) 943-1272
Fax
(814) 940-8516
NPI assigned
Feb 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD438515 PA Primary

Addresses

Primary practice location

300 E Walnut Ave
Altoona, PA 16601-5210

Mailing address

127 Wildot Dr
State College, PA 16801-7818
Phone (516) 984-3988

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Anesthesia LLC Past Accepting new patients
Pelham Physical Medicine Inc Past Accepting new patients
Pelham Physical Medicine Inc Physical Medicine & Rehabilitation Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1508034562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 WILDOT DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017818",
            "telephone_number": "516-984-3988",
            "fax_number": "814-940-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E WALNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166015210",
            "telephone_number": "814-943-1272",
            "fax_number": "814-940-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ VILLEGAS",
        "first_name": "GLORISEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD438515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.