Katlin Vonbargen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

038488 Issued in NY

Practice address

210 Charles Ave
Massapequa Park, NY 11762-2109

Phone

(516) 225-8593

NPI assigned

Nov 1, 2016

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medcare Therapy Services Physical, Occupational and Massage Therapy,PLGroup PAC ID 4789871773, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Medcare Therapy Services:Physical, Occupational & Massage Therapy,PLLC

  • Physical Therapist
  • Holbrook, NY
  • NPI 1326355132
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1730631128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CHARLES AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622109",
            "telephone_number": "516-225-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CHARLES AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622109",
            "telephone_number": "516-225-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONBARGEN",
        "first_name": "KATLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Victor, P.T.
• Jenine Vigario, BCBA, LBA
• Carol S. Villani, OTR
• Anna Vogel, MHC
• Brian L. Vogel, M.D.
• Angela Lynn Wakefield, MPT, DSCPT
• Walgreen Co
• Tracy Walsh, RN
• Abra Joy Walter, PSY.D.
• Eric J Walter, PSY.D.

• Physical Therapist in Massapequa Park, NY
• Providers in Massapequa Park, 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 Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.