Individual provider Active NPI

Barbara Villanti, PT

  • Physical Therapist
  • Clinton, NY
National Provider Identifier
1780842781
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
016256-1 Issued in NY
Practice address
8200 Seneca Tpke
Clinton, NY 13323-1027
Phone
(315) 738-1671
Fax
(315) 738-0942
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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 016256-1 NY Primary

Addresses

Primary practice location

8200 Seneca Tpke
Clinton, NY 13323-1027

Mailing address

8200 Seneca Tpke
Clinton, NY 13323-1027
Phone (315) 738-1671

Other identifiers 1

IdentifierTypeStateIssuer
03019707MedicaidNY

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

LicenseStateTypeSpecialty
016256-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1780842781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 SENECA TPKE",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231027",
            "telephone_number": "315-738-1671",
            "fax_number": "315-738-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 SENECA TPKE",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231027",
            "telephone_number": "315-738-1671",
            "fax_number": "315-738-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANTI",
        "first_name": "BARBARA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016256-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03019707",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.