VSG PT, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19963 Issued in MD

Legal business name

VSG PT, LLC

Practice address

6935 Laurel Ave Ste 202
Takoma Park, MD 20912-4413

Phone

(301) 718-2820

Fax

(301) 718-2821

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Violeta Susan Guardado, MPTNPI 1902863947

Title

Owner

Phone

(301) 718-2820

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Violeta Susan Guardado, MPT

  • Physical Therapist
  • Takoma Park, MD
  • NPI 1902863947

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1821200510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 LAUREL AVE STE 202",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124413",
            "telephone_number": "301-718-2820",
            "fax_number": "301-718-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6935 LAUREL AVE STE 202",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124413",
            "telephone_number": "301-718-2820",
            "fax_number": "301-718-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VSG PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "GUARDADO",
        "authorized_official_first_name": "VIOLETA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-718-2820",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "19963",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.