Village Physical Therapy & Wellness, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024144 Issued in NY

Legal business name

VILLAGE PHYSICAL THERAPY & WELLNESS, PC

Practice address

330 Sunrise Hwy
Suite 100
Rockville Centre, NY 11570-4977

Phone

(516) 766-7848

Fax

(888) 316-2480

NPI assigned

May 5, 2008

Last updated

Jun 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen A Rafferty, P.T.

Title

Ceo

Phone

(516) 766-7848

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1952577421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115710529",
            "telephone_number": "516-766-7848",
            "fax_number": "888-316-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SUNRISE HWY",
            "address_2": "SUITE 100",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704977",
            "telephone_number": "516-766-7848",
            "fax_number": "888-316-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHYSICAL THERAPY & WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "RAFFERTY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-766-7848",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0418678",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gaurav Verma, M.D
• Steven Verveniotis, DDS
• Lauren Marie Vicari
• Stephanie Vidic, L.AC
• Sunita Viegas, FNP-BC
• Coral Villandre, M.S
• Vincent John Sena, MD
• Micaela Virgilio, NP
• Christopher John Vissicchio, OD
• Viva Mental Health Counseling PC

• Physical Therapist in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.