Vicky Carregal

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20341 Issued in FL

Practice address

365 Summercove Cir
St Augustine, FL 32086-5951

Phone

(904) 315-8525

NPI assigned

Jan 16, 2008

Last updated

Jun 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Next Step Therapy Services

  • Physical Therapist
  • St Augustine, FL
  • NPI 1841569779

  Developmental Therapist

  Medicare reassignment NPD Authorized official
• Horseplay Therapy Center

  • Physical Therapist
  • St Augustine, FL
  • NPI 1932752730
  NPD Authorized official

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1528244829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 SUMMERCOVE CIR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865951",
            "telephone_number": "904-315-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 SUMMERCOVE CIR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865951",
            "telephone_number": "904-315-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARREGAL",
        "first_name": "VICKY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20341",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "PT20341",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892751100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Brooke Carpenter
• Sydney Carpenter
• Brittney Carr, M.S. SLP
• Nakisha Marie Carrasquillo-Richardson, L. P.
• Keith Carregal
• Janis E. Carruth, LMT
• Gabriella Carson, MS
• Alice Pharies Carter, APRN
• Britany Carter
• Abigail Cartledge, RDN

• Physical Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.