Noster Villamor, R.P.T.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT7249 Issued in FL

Practice address

123 US 27 S
Lake Placid, FL 33852-7918

Phone

(863) 465-4412

Fax

(863) 465-7790

NPI assigned

Sep 15, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Functional Rehab Inc

  • Physical Therapy Clinic/Center
  • Lake Placid, FL
  • NPI 1609103993
  Medicare reassignment NPD Authorized official
• NRV Enterprises Inc

  dba Functional Rehab Center

  • Rehabilitation Clinic/Center
  • Sebring, FL
  • NPI 1003094202
  NPD (past) Authorized official

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1952634461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 US 27 S",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338527918",
            "telephone_number": "863-465-4412",
            "fax_number": "863-465-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 US 27 S",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338527918",
            "telephone_number": "863-465-4412",
            "fax_number": "863-465-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAMOR",
        "first_name": "NOSTER",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-15",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT7249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC",
            "identifier": "P00907877",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD OF FLORIDA",
            "identifier": "Y7382",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianna Vasquez
• Faustina Vasquez, MSN, APRN, FNP-BC
• Ismael Vazquez Cisneros
• Marcella Vazquez, APRN
• Alan Vega
• Walgreen Co (Walgreens #09098)
• Andrea A Walker, APRN-BC
• Veronica Gertrude Walker, N.P.
• Zackery LWW Williams
• Bi Ang Zheng, MD

• Physical Medicine & Rehabilitation Physician in Lake Placid, FL
• Providers in Lake Placid, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.