Individual provider Active NPI

Liam Cole, PTA

  • Physical Therapy Assistant
  • Valencia, CA
National Provider Identifier
1821518283
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
48521 Issued in CA
Practice address
25830 McBean Pkwy
Valencia, CA 91355-2004
Phone
(661) 259-2621
Fax
(661) 259-2651
NPI assigned
Jun 26, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 48521 CA Primary

Addresses

Primary practice location

25830 McBean Pkwy
Valencia, CA 91355-2004

Mailing address

27125 Sierra Hwy Ste 203
Canyon Country, CA 91351-5429
Phone (661) 250-9940

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

LicenseStateTypeSpecialty
48521CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vargo Physical Therapy, Inc. Single Specialty CurrentSince Jul 24, 2022 Accepting new patients
Vargo Physical Therapy, Inc Single Specialty PastSince Jul 24, 2022 Accepting new patients

Locations

27125 Sierra Hwy
Ste 203
Canyon Country, CA 91351
Phone (661) 250-9890

25830 McBean Pkwy
Valencia, CA 91355
Phone (661) 259-2621

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821518283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27125 SIERRA HWY STE 203",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913515429",
            "telephone_number": "661-250-9940",
            "fax_number": "661-250-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25830 MCBEAN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552004",
            "telephone_number": "661-259-2621",
            "fax_number": "661-259-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "LIAM",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "48521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.