Active NPI
Anna Cathryn Wargo, PT, DPT
- Physical Therapist
- Monticello, AR
National Provider Identifier
1730662479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4575
- Practice address
- 1200 Old Warren Rd
Monticello, AR 71655-9723 - Phone
- (870) 367-1548
- Fax
- (870) 367-1383
- NPI assigned
- Sep 10, 2018
- Last updated
- Sep 10, 2018
- Sex
- Female
- 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 | 4575 | AR | Primary |
Addresses
Primary practice location
1200 Old Warren Rd
Monticello, AR 71655-9723
Mailing address
1200 Old Warren Rd
Monticello, AR 71655-9723
Phone (870) 367-1548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4575 | Other | AR | PT LICENSE NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4575 | AR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1730662479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 OLD WARREN RD",
"city": "MONTICELLO",
"state": "AR",
"postal_code": "716559723",
"telephone_number": "870-367-1548",
"fax_number": "870-367-1383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 OLD WARREN RD",
"city": "MONTICELLO",
"state": "AR",
"postal_code": "716559723",
"telephone_number": "870-367-1548",
"fax_number": "870-367-1383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARGO",
"first_name": "ANNA",
"middle_name": "CATHRYN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "4575",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE NUMBER",
"identifier": "4575",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monticello, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.