Vanessa Vasquez

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT23431 Issued in FL

Practice address

13101 Bruce B Downs Blvd
Usf Early Steps
Tampa, FL 33612-3803

Phone

(813) 974-7938

NPI assigned

Nov 9, 2005

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1639150329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10507 WILLOWBRAE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245223",
            "telephone_number": "630-698-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 BRUCE B DOWNS BLVD",
            "address_2": "USF EARLY STEPS",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123803",
            "telephone_number": "813-974-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT23431",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "PT23431",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adriana Maria Vasquez, RN
• Amy Vasquez
• Kayla Vasquez
• Marisa Iris Vasquez, APRN
• Sandra L Vasquez
• Walteria P Vasquez
• Jessica Lindstadt Vassallo, PH.D.
• Indi Vasudeva, M.D.
• Emily Vaughan
• Jeff L Vaughan, PHARMD

• Pediatric Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Pediatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.