Active NPI
Laura M Vargovich, PT
- Physical Therapist
- Williamsville, NY
National Provider Identifier
1801808688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 026404-1
- Practice address
- 425 Essjay Rd
Williamsville, NY 14221-5782 - Phone
- (716) 630-1020
- Fax
- (716) 630-1278
- NPI assigned
- Aug 12, 2006
- 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 Therapist | 225100000X | 026404-1 | NY | Primary |
Addresses
Primary practice location
425 Essjay Rd
Williamsville, NY 14221-5782
Mailing address
6255 Sheridan Dr
Suite 304
Williamsville, NY 14221-4836
Phone (716) 857-8666
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00027260601 | Other | NY | UNIVERA |
| 161000580 | Other | NY | NOVA |
| 9312837 | Other | NY | IHA |
| 000628133001 | Other | NY | HEALTH NOW |
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 |
|---|---|---|---|
| 026404-1 | NY | MD | Physical Therapist |
| 026404 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1801808688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 SHERIDAN DR",
"address_2": "SUITE 304",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142214836",
"telephone_number": "716-857-8666",
"fax_number": "716-857-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 ESSJAY RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215782",
"telephone_number": "716-630-1020",
"fax_number": "716-630-1278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGOVICH",
"first_name": "LAURA",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "026404-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00027260601",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVA",
"identifier": "161000580",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "9312837",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW",
"identifier": "000628133001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.