Active NPI
Alexandra Megan Vigliarolo, DPT
- Physical Therapist
- Rawlins, WY
National Provider Identifier
1669775359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1589
- Practice address
- 542 16TH St
Rawlins, WY 82301-5241 - Phone
- (307) 324-2759
- NPI assigned
- Dec 17, 2010
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1589 | WY | Primary |
| Physical Therapist | 225100000X | PTP-PT-LIC-15198 | MT | |
| Physical Therapist | 225100000X | PT60396893 | WA | |
| Physical Therapist | 225100000X | 6422 | OR | |
| Physical Therapist | 225100000X | 5501017894 | MI | |
| Physical Therapist | 225100000X | PHYP2797 | AK |
Addresses
Primary practice location
542 16TH St
Rawlins, WY 82301-5241
Mailing address
6945 Pine Creek Rd
Manistee, MI 49660-9555
Phone (616) 485-2883
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6422 | OR | MD | General Practice Dentistry |
| PHYP2797 | AK | MD | Physical Therapist |
| 5501017894 | MI | MD | Physical Therapist |
| PTP-PT-LIC-15198 | MT | MD | Physical Therapist |
| PT60396893 | WA | MD | Physical Therapist |
| 1589 | WY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1669775359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6945 PINE CREEK RD",
"city": "MANISTEE",
"state": "MI",
"postal_code": "496609555",
"telephone_number": "616-485-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "542 16TH ST",
"city": "RAWLINS",
"state": "WY",
"postal_code": "823015241",
"telephone_number": "307-324-2759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGLIAROLO",
"first_name": "ALEXANDRA",
"middle_name": "MEGAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-17",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "1589",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "PTP-PT-LIC-15198",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60396893",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "6422",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501017894",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "PHYP2797",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rawlins, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.