Vernon Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

033503 Issued in NY

Legal business name

VERNON PHYSICAL THERAPY LLC

Practice address

1 Morehouse LN
Warwick, NY 10990-2737

Phone

(814) 883-2602

NPI assigned

Apr 10, 2015

Organization subpart

No

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

Authorized official

Name

Sarah Spence, DPTNPI 1760628580

Title

President

Phone

(814) 883-2602

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah E Spence, DPT

  • Physical Therapist
  • Vernon, NJ
  • NPI 1760628580
  Medicare reassignment Care Compare group Authorized official
• Andrew Martino, DPT

  • Physical Therapist
  • Suffern, NY
  • NPI 1366688178

  NJ

  Medicare reassignment Care Compare group
• Kevin D Vernon, DPT, CSCS

  • Specialist
  • Centennial, CO
  • NPI 1811072515
  NPD (past)

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1689060220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MOREHOUSE LN",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109902737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MOREHOUSE LN",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109902737",
            "telephone_number": "814-883-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-883-2602",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033503",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Alexa Tuomala, LMSW
• Anna Turney
• Mary Ann Van Der Jagt, LCSW-R
• Joanne Levitt Vanderkloot, LCSW
• Margaret E Verhagen, D.C.
• Villa Frances at the Knolls
• Vincent J Gulfo MD PC
• Shuangping Wang, M.D.
• Paola Ward
• Ellen V Warren, OTR

• Physical Therapist in Warwick, NY
• Providers in Warwick, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.