Active NPI
Lara Elizabeth Viggiano, MPT
- Physical Therapist
- Hainesport, NJ
National Provider Identifier
1831167089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- QA00900100
- Practice address
- 100 Creek Crossing Blvd
Suite 107
Hainesport, NJ 08036-2765 - Phone
- (609) 265-0700
- Fax
- (609) 265-0708
- NPI assigned
- Mar 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | QA00900100 | NJ | Primary |
Addresses
Primary practice location
100 Creek Crossing Blvd
Suite 107
Hainesport, NJ 08036-2765
Mailing address
100 Creek Crossing Blvd
Suite 107
Hainesport, NJ 08036-2765
Phone (609) 265-0700
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
| License | State | Type | Specialty |
|---|---|---|---|
| QA00900100 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831167089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CREEK CROSSING BLVD",
"address_2": "SUITE 107",
"city": "HAINESPORT",
"state": "NJ",
"postal_code": "080362765",
"telephone_number": "609-265-0700",
"fax_number": "609-265-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CREEK CROSSING BLVD",
"address_2": "SUITE 107",
"city": "HAINESPORT",
"state": "NJ",
"postal_code": "080362765",
"telephone_number": "609-265-0700",
"fax_number": "609-265-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGGIANO",
"first_name": "LARA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "QA00900100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hainesport, NJ
- Noelle Tweedie, BCBA
- Union Association of the Children'S Home of Burlington County, Inc
- Union Association of the Children'S Home of Burlington County, Inc.
- Union Association of the Children'S Home of Burlington County, Inc.
- Myra Theresa Vargas, M.D.
- Visiting Nurse & Homemakers Services Inc
- Vital Performance Physical Therapy LLC
- Grace Wall, PT, DPT
- Diann Wallace, D.C.
- Rebecca Knight Warren
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.