Sharleen Vigil, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT205 Issued in CA

Practice address

2737 Walsh Ave
Santa Clara, CA 95051-0965

Phone

(408) 228-8400

Fax

(408) 228-8401

NPI assigned

Apr 17, 2018

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1649767401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 SURF CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951271153",
            "telephone_number": "209-892-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 WALSH AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950510965",
            "telephone_number": "408-228-8400",
            "fax_number": "408-228-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "SHARLEEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PT205",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT205",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Via Rehabilitation Services, Inc.
• Victory Transportation
• Antonell Vida
• Chelsea Marie Vielhauer, MSW, LCSW
• Samantha Vigil
• Chitra Vijayaraghavan, MD
• Raquel Villa Linares
• Andrea Villagomez-Avila
• Ryan Anthony Villanueva
• Darlene Alexandria Remo Villatuya, PT, DPT

• Physical Therapy Assistant in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.