Active NPI
Agnes Adan Vergara, PT
- Geriatric Physical Therapist
- New Port Richey, FL
National Provider Identifier
1649207705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 7605
- Practice address
- 7775 Mokena CT
New Port Richey, FL 34654-5647 - Phone
- (727) 723-5480
- Fax
- (727) 849-5355
- NPI assigned
- Jun 26, 2006
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 7605 | FL | Primary |
Addresses
Primary practice location
7775 Mokena CT
New Port Richey, FL 34654-5647
Mailing address
7775 Mokena CT
New Port Richey, FL 34654-5647
Phone (727) 723-5480
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7605 | FL | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649207705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7775 MOKENA CT",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346545647",
"telephone_number": "727-723-5480",
"fax_number": "727-849-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7775 MOKENA CT",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346545647",
"telephone_number": "727-723-5480",
"fax_number": "727-849-5355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERGARA",
"first_name": "AGNES",
"middle_name": "ADAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "FL",
"license": "7605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.