Arvin Ilagan Ilagan, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305210205 Issued in VA

Practice address

9523 Fall Haven Rd
Fredericksburg, VA 22407

Phone

(540) 260-5193

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pelham Physical Medicine Inc

  • Specialist
  • Bronx, NY
  • NPI 1144262510
  NPD (past)
• Pelham Physical Medicine Inc

  • Rehabilitation Clinic/Center
  • Bronx, NY
  • NPI 1952465338

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1912037367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9523 FALL HAVEN RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22407",
            "telephone_number": "540-260-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9523 FALL HAVEN RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22407",
            "telephone_number": "540-260-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILAGAN",
        "first_name": "ARVIN",
        "middle_name": "ILAGAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01442300",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0253261",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Semira M Ibrahim
• Icare Health Solutions, LLC
• Icare Home Care
• Ics Radiology, Inc.
• Aamna Shanzay Iftikhar
• Ileri-Liv Care Solutions
• Christa Lynn Jillard Ilic, M.D.
• Josemari Deleon Imao, DDS
• Impact Home Improvements, LLC
• Ana Inashvili, MD

• Physical Therapist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.