Active NPI
Priyanka Vishnu Pagnis
- Physical Therapist
- Louisville, KY
National Provider Identifier
1548650096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 294470
- Practice address
- 2701 Chestnut Station Court
Paragon Rehabilitation
Louisville, KY 40299-6395 - Phone
- (800) 335-1060
- NPI assigned
- Feb 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05011512A | IN | |
| Physical Therapist | 225100000X | 294470 | CA | Primary |
Addresses
Primary practice location
2701 Chestnut Station Court
Paragon Rehabilitation
Louisville, KY 40299-6395
Mailing address
3213 San Andreas Dr
Union City, CA 94587-2718
Phone (317) 602-0806
Other practice location 1
2910 McClure St
Oakland, CA 94609-3505
Phone (510) 836-3677
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 |
|---|---|---|---|
| 294470 | CA | MD | Physical Therapist |
| 05011512A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634860800000",
"number": "1548650096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3213 SAN ANDREAS DR",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945872718",
"telephone_number": "317-602-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 CHESTNUT STATION COURT",
"address_2": "PARAGON REHABILITATION",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402996395",
"telephone_number": "800-335-1060"
}
],
"practiceLocations": [
{
"address_1": "2910 McClure St",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946093505",
"country_code": "US",
"telephone_number": "510-836-3677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAGNIS",
"first_name": "PRIYANKA",
"middle_name": "VISHNU",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-04",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05011512A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.