Active NPI
Jessica Vigna
- Physical Therapist
- Rancho Mirage, CA
National Provider Identifier
1609635747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT305237
- Practice address
- 39950 Vista del Sol
Rancho Mirage, CA 92270-3206 - Phone
- (760) 340-0053
- NPI assigned
- Mar 18, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT305237 | CA | Primary |
Addresses
Primary practice location
39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Mailing address
21 Vardon Way
Farmingdale, NJ 07727-3955
Phone (732) 320-2960
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 |
|---|---|---|---|
| PT305237 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1609635747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 VARDON WAY",
"city": "FARMINGDALE",
"state": "NJ",
"postal_code": "077273955",
"telephone_number": "732-320-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39950 VISTA DEL SOL",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703206",
"telephone_number": "760-340-0053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGNA",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-18",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT305237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.