Individual provider Active NPI

Virna Liza Tameta Villanueva, PT

  • Physical Therapist
  • Yorktown Heights, NY
National Provider Identifier
1750391876
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014898 Issued in NY
Practice address
2050 Saw Mill River Rd
2ND Floor
Yorktown Heights, NY 10598-4108
Phone
(914) 962-0100
Fax
(914) 962-0105
NPI assigned
Aug 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 014898 NY Primary

Addresses

Primary practice location

2050 Saw Mill River Rd
2ND Floor
Yorktown Heights, NY 10598-4108

Mailing address

2050 Saw Mill River Rd
2ND Floor
Yorktown Heights, NY 10598-4108
Phone (914) 962-0100

Other identifiers 1

IdentifierTypeStateIssuer
Q08C11OtherNYBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721000799 NY Practitioner - Physical Therapist in Private Practice 7810977816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Access PT, OT, New York, PLLCGroup PAC ID 3870735897, 9 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

1825 Commerce St
Suite 1
Yorktown Heights, NY 10598-4432
Phone (914) 302-9160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014898NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Access PT, OT, New York, PLLC Physical Therapist CurrentSince Apr 4, 2022 Accepting new patients
Proclinix Sports Physical Therapy Chiropractic Wellness,PLLC Physical Therapist PastSince Jul 29, 2026 Accepting new patients
Chiropractic Sports Rehabilitation PLLC Past Accepting new patients
Montefiore Medical Center Physical Therapist PastSince Feb 2, 2025 Accepting new patients
Physical Therapy & Sports Chiropractic of Yorktown, PLLC Physical Therapist Past Accepting new patients

Locations

434 Old Post Rd
Bedford, NY 10506
Phone (914) 234-4445

111 E 210th St
Bronx, NY 10467

16 Maybrook Rd
Ste L
Campbell Hall, NY 10916

2050 E Main St
Ste 4
Cortlandt Mnr, NY 10567
Phone (914) 736-9502

111 Maiden Ln
Kingston, NY 12401
Phone (845) 331-8590

14 Thiells Mount Ivy Rd
Ste 2
Pomona, NY 10970
Phone (845) 694-8808

1825 Commerce St
#1
Yorktown Heights, NY 10598
Phone (914) 302-9160

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750391876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 SAW MILL RIVER RD",
            "address_2": "2ND FLOOR",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984108",
            "telephone_number": "914-962-0100",
            "fax_number": "914-962-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 SAW MILL RIVER RD",
            "address_2": "2ND FLOOR",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984108",
            "telephone_number": "914-962-0100",
            "fax_number": "914-962-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "VIRNA LIZA",
        "middle_name": "TAMETA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Q08C11",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.