Individual provider Active NPI

Brenda Villarante Virata, PT

  • Physical Therapist
  • Cherry Hill, NJ
National Provider Identifier
1962614206
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011570L Issued in PA
Practice address
1415 Marlton Pike E Ste 103
Cherry Hill, NJ 08034-2227
Phone
(800) 670-3893
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 011570L PA Primary

Addresses

Primary practice location

1415 Marlton Pike E Ste 103
Cherry Hill, NJ 08034-2227

Mailing address

7004 Encampment Rd
Lansdale, PA 19446-6801
Phone (215) 692-1717

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
011570LPAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962614206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 ENCAMPMENT RD",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194466801",
            "telephone_number": "215-692-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MARLTON PIKE E STE 103",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342227",
            "telephone_number": "800-670-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRATA",
        "first_name": "BRENDA",
        "middle_name": "VILLARANTE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "011570L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.