Active NPI
Jason Vangilder, P.T.
- Physical Therapist
- Osceola, AR
National Provider Identifier
1720428600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3043
- Practice address
- 315 E Union Ave
Osceola, AR 72370-3235 - Phone
- (870) 563-1331
- NPI assigned
- Jun 25, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3043 | AR | Primary |
Addresses
Primary practice location
315 E Union Ave
Osceola, AR 72370-3235
Mailing address
315 E Union Ave
Osceola, AR 72370-3235
Phone (870) 563-1331
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 |
|---|---|---|---|
| 3043 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1720428600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E UNION AVE",
"city": "OSCEOLA",
"state": "AR",
"postal_code": "723703235",
"telephone_number": "870-563-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E UNION AVE",
"city": "OSCEOLA",
"state": "AR",
"postal_code": "723703235",
"telephone_number": "870-563-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANGILDER",
"first_name": "JASON",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-25",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "3043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Osceola, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.