Active NPI
Tricia Jane Vigil, OTR
- Occupational Therapist
- Pueblo, CO
National Provider Identifier
1679701098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 676
- Practice address
- 5 Thames CT
Pueblo, CO 81005-3521 - Phone
- (719) 542-2357
- NPI assigned
- Jun 24, 2009
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 676 | CO | Primary |
Addresses
Primary practice location
5 Thames CT
Pueblo, CO 81005-3521
Mailing address
5 Thames CT
Pueblo, CO 81005-3521
Phone (719) 542-2357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89488326 | Medicaid | CO |
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 |
|---|---|---|---|
| 676 | CO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1679701098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 THAMES CT",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810053521",
"telephone_number": "719-542-2357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 THAMES CT",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810053521",
"telephone_number": "719-542-2357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGIL",
"first_name": "TRICIA",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-24",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89488326",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
- Sabrina J Vigil, MSCJ
- Savannah Paige Vigil
- Sherry June Vigil, LPTA
- Taylah Rae Vigil
- Taylor Vigil
- Zachary Lawrence Vigil, DDS
- Vikash Kanchanlal, DMD, PC (Gentle Touch Family Dentistry)
- Villa Grove Assisted Living (Johnson Home Assisted Living, Inc.)
- Villa Grove Assisted Living Home (Johnson Assisted Living Home, Inc.)
- Village Physical Therapy, PC (PT Solutions of Colorado)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.