Active NPI
Via Lorraine Valladores
- Physical Therapist
- Eatontown, NJ
National Provider Identifier
1629858592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02061200
- Practice address
- 201 Wyckoff Road
Eatontown, NJ 07724 - Phone
- (848) 208-7466
- NPI assigned
- Sep 29, 2023
- 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 | 40QA02061200 | NJ | Primary |
Addresses
Primary practice location
201 Wyckoff Road
Eatontown, NJ 07724
Mailing address
201 Fairway LN
Neptune, NJ 07753-2946
Phone (732) 456-1073
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1629858592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 FAIRWAY LN",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077532946",
"telephone_number": "732-456-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 WYCKOFF ROAD",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "07724",
"telephone_number": "848-208-7466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLADORES",
"first_name": "VIA LORRAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-29",
"last_updated": "2023-09-29",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02061200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eatontown, NJ
- Ashley Kristine Ulker, MD
- Union Association of the Children'S Home of Burlington County, Inc.
- Unity Health Care Services LLC
- Rajiv Uppal, M.D.
- Sarangdev Vaidya
- Saul Valle-Diaz, LMT
- Victoria Catherine Vallejo, PA-C
- Melissa Van Dillen, OTR/L
- Vascular & Vein Center of New Jersey LLC
- Vascular & Vein Center of NJ LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.