Shirley Paola Vanegas

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

009290-1 Issued in NY

Practice address

21 Riverside Dr
Middletown, NY 10941-4048

Phone

(845) 695-5600

NPI assigned

Mar 23, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1942950076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BLUFFS CT",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074191525",
            "telephone_number": "201-259-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 RIVERSIDE DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414048",
            "telephone_number": "845-695-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEGAS",
        "first_name": "SHIRLEY",
        "middle_name": "PAOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "009290-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nowell Van Benschoten, MS ED. CCC-SLP
• Michelle-Nicole Van Orden, NP-C
• Taylor Van Wettering, PA-C
• Myrna F Vandermolen, O.T.R.
• Sandy Vanegas
• Wendy Vanhorn
• Balamurali Varadarajalu, M.D., PH.D.
• Marilyn Vargas
• Lilia Vargeese
• Jacquelyn N Vargetto

• Physical Therapy Assistant in Middletown, NY
• Providers in Middletown, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.