Vincent M. Vastola, PHYSICAL THERAPIST A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

008517 Issued in NY

Practice address

367 Cedarhurst Street
Islip Terrace, NY 11752-1403

Phone

(516) 706-0682

NPI assigned

Oct 22, 2012

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1740533116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 CEDARHURST STREET",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521403",
            "telephone_number": "516-706-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 CEDARHURST STREET",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521403",
            "telephone_number": "516-706-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASTOLA",
        "first_name": "VINCENT",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "008517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Tique, M.D.
• Joanne Tomossone, MA,CCC,SLP
• Chandrakant L Trivedi, PHARMACIST
• Lexis Tudisco
• Vivian Vankoolwijk, LMSA
• Veins LLC
• Taylor Marie Verdino, RN
• Nick J Vittoria, D.M.D.
• Alexis Nicole Vulpis
• Emily K Walter

• Physical Therapy Assistant in Islip Terrace, NY
• Providers in Islip Terrace, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.