Active NPI
Anna Liza E Villegas
- Physical Therapist
- Kokomo, IN
National Provider Identifier
1669503892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05009214A
- Practice address
- 2922 Mayor Dr
Kokomo, IN 46902-3593 - Phone
- (765) 252-9519
- NPI assigned
- Mar 8, 2007
- Last updated
- Aug 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 05009214A | IN | Primary |
Addresses
Primary practice location
2922 Mayor Dr
Kokomo, IN 46902-3593
Mailing address
2922 Mayor Dr
Kokomo, IN 46902-3593
Phone (765) 252-9519
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Therapies at Home | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1669503892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2922 MAYOR DR",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469023593",
"telephone_number": "765-252-9519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2922 MAYOR DR",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469023593",
"telephone_number": "765-252-9519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLEGAS",
"first_name": "ANNA LIZA",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009214A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.