Individual provider Active NPI

Cynthia N. Vibar

  • Physical Therapist
  • Rockford, IL
National Provider Identifier
1821383894
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.018075 Issued in IL
Practice address
4340 Morsay Dr
Rockford, IL 61107-4877
Phone
(815) 397-8132
NPI assigned
Jun 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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 070.018075 IL Primary

Addresses

Primary practice location

4340 Morsay Dr
Rockford, IL 61107-4877

Mailing address

1007 NE 3Rd Ave
Crystal River, FL 34428-3515
Phone (954) 425-2371

Other names 1

  • Miss Cynthia N. Vibar Professional name

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
070.018075ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Morsay Physical Medicine Center LTD. PastSince Oct 31, 2009 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1821383894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 NE 3RD AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344283515",
            "telephone_number": "954-425-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 MORSAY DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074877",
            "telephone_number": "815-397-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIBAR",
        "first_name": "CYNTHIA",
        "middle_name": "N.",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.018075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "VIBAR",
            "middle_name": "N.",
            "prefix": "MISS",
            "credential": "RPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.