Roger Villarin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501006027 Issued in MI

Practice address

1501 S Center Rd
Building a
Burton, MI 48509-1731

Phone

(810) 715-7746

Fax

(810) 715-7716

NPI assigned

Dec 12, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Centrum Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Burton, MI
  • NPI 1154865046
  Medicare reassignment NPD

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1821532722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S CENTER RD",
            "address_2": "BUILDING A",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091731",
            "telephone_number": "810-715-7746",
            "fax_number": "810-715-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S CENTER RD",
            "address_2": "BUILDING A",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091731",
            "telephone_number": "810-715-7746",
            "fax_number": "810-715-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARIN",
        "first_name": "ROGER",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vergos Vision Service Inc
• Nicholas Peter Vergos
• Peter Vergos, OD
• VG'S Pharmacy Inc
• Andrew Victor, MD
• Valdis Vitols, DDS
• Heidi Maria Wagner, RPH
• Wal-Mart Stores East LP
• Hannah June Waldie
• Crystal Walker

• Physical Therapist in Burton, MI
• Providers in Burton, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.