Active NPI
Liam Cole, PTA
- Physical Therapy Assistant
- Valencia, CA
National Provider Identifier
1821518283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 48521
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 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
| License | State | Type | Specialty |
|---|---|---|---|
| 48521 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vargo Physical Therapy, Inc. | Single Specialty | Current | Accepting new patients |
| Vargo Physical Therapy, Inc | Single Specialty | Past | 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.