Individual provider Active NPI

Lucas Viglianco

  • Physical Therapist
  • Morgantown, WV
National Provider Identifier
1659851764
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004023 Issued in WV
Practice address
3109 University Ave
Morgantown, WV 26505-0382
Phone
(724) 583-1240
Fax
(724) 583-0209
NPI assigned
Aug 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT004023 WV Primary

Addresses

Primary practice location

3109 University Ave
Morgantown, WV 26505-0382

Mailing address

625 Lincoln Ave Ste 209
N Charleroi, PA 15022-2451
Phone (724) 483-2159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181017000434 WV Practitioner - Physical Therapist in Private Practice 9436401619 Reassigns benefits to 1 organization
I20181022000347 PA Practitioner - Physical Therapist in Private Practice 9436401619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3109 University Ave
Suite C
Morgantown, WV 26505-3205
Phone (304) 241-5670

625 Lincoln Ave
Suite 107
North Charleroi, PA 15022-2451
Phone (724) 483-4886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Associates Inc Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients
Orthopedic & Sports Physical Therapy Associates, Inc. Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients
Orthopedic and Sports Physical Therapy Assoc Inc Past Accepting new patients
Valley Outpatient Rehabilitation Past Accepting new patients
Orthopedic and Sports Physical Therapy Associates Past Accepting new patients

Locations

1027 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-6211

625 Lincoln Ave
Ste 209
North Charleroi, PA 15022
Phone (724) 483-3610

625 Lincoln Ave
Ste 107
North Charleroi, PA 15022
Phone (724) 483-4886

500 1st Ave
Pittsburgh, PA 15219
Phone (412) 807-7878

3109 University Ave
Ste C
Morgantown, WV 26505
Phone (304) 241-4020

3109 University Ave
Morgantown, WV 26505
Phone (304) 241-4020

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1659851764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE STE 209",
            "city": "N CHARLEROI",
            "state": "PA",
            "postal_code": "150222451",
            "telephone_number": "724-483-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 UNIVERSITY AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265050382",
            "telephone_number": "724-583-1240",
            "fax_number": "724-583-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGLIANCO",
        "first_name": "LUCAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT004023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.