Active NPI
Valerie Jeanne Buckley Lavigne, MSPT
- Physical Therapist
- Hyannis, MA
National Provider Identifier
1700062643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17207
- Practice address
- 83 Pearl St
Hyannis, MA 02601-3922 - Phone
- (508) 775-6240
- NPI assigned
- Jan 10, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17207 | MA | Primary |
Addresses
Primary practice location
83 Pearl St
Hyannis, MA 02601-3922
Mailing address
PO Box 2842
Edgartown, MA 02539-2842
Phone (781) 632-6551
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 |
|---|---|---|---|
| 17207 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Cod Child Development Program, Inc. | 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 and National Provider Directory roles.
-
- Voluntary or Charitable Agency
- Hyannis, MA
- NPI 1164581443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199923200000",
"number": "1700062643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2842",
"city": "EDGARTOWN",
"state": "MA",
"postal_code": "025392842",
"telephone_number": "781-632-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 PEARL ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013922",
"telephone_number": "508-775-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVIGNE",
"first_name": "VALERIE",
"middle_name": "JEANNE BUCKLEY",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-10",
"last_updated": "2008-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.