Individual provider Active NPI

Brittney Jazmine Vargas, PTA

  • Physical Therapy Assistant
  • Largo, FL
National Provider Identifier
1821581133
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
011421-1 Issued in NY
Practice address
3690 E Bay Dr Ste S
Largo, FL 33771-1946
Phone
(727) 275-7668
NPI assigned
Jun 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 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 011421-1 NY Primary

Addresses

Primary practice location

3690 E Bay Dr Ste S
Largo, FL 33771-1946

Mailing address

PO Box 4723
Clearwater, FL 33758-4723
Phone (845) 544-5324

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL PhysicalTherapy Other

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
011421-1NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1821581133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4723",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337584723",
            "telephone_number": "845-544-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 E BAY DR STE S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711946",
            "telephone_number": "727-275-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "BRITTNEY",
        "middle_name": "JAZMINE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "011421-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "PhysicalTherapy",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "PhysicalTherapy",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PhysicalTherapy",
            "address_1": "3690 E Bay Dr Ste S",
            "city": "Largo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337711946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.