Active NPI
Elizabeth Varghese
- Physical Therapy Assistant
- Poughkeepsie, NY
National Provider Identifier
1770755779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 005880-1
- Practice address
- 241 North Rd
Poughkeepsie, NY 12601-1154 - Phone
- (845) 431-8780
- Fax
- (845) 483-5455
- NPI assigned
- Mar 31, 2008
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | 005880-1 | NY | Primary |
Addresses
Primary practice location
241 North Rd
Poughkeepsie, NY 12601-1154
Mailing address
241 North Rd
Poughkeepsie, NY 12601-1154
Phone (845) 431-8780
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 |
|---|---|---|---|
| 005880-1 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1770755779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 NORTH RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011154",
"telephone_number": "845-431-8780",
"fax_number": "845-483-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 NORTH RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011154",
"telephone_number": "845-431-8780",
"fax_number": "845-483-5455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGHESE",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-31",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "005880-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.