Viji Mary Vergis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025733 Issued in NY

Practice address

28B Indian Rock Plaza
RT. 59
Montebello, NY 10901-4907

Phone

(845) 368-2180

Fax

(845) 368-2187

NPI assigned

Oct 17, 2014

Last updated

Oct 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1700280898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 TRAILS END",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561309",
            "telephone_number": "845-825-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28B INDIAN ROCK PLAZA",
            "address_2": "RT. 59",
            "city": "MONTEBELLO",
            "state": "NY",
            "postal_code": "109014907",
            "telephone_number": "845-368-2180",
            "fax_number": "845-368-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGIS",
        "first_name": "VIJI",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Montebello, NY
• Providers in Montebello, 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 Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.