Charisse Kristine P Vasquez, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32570 Issued in CA

Practice address

14148 Magnolia Blvd
Ste 105 Aquatic Physical Therapy and Rehab
Sherman Oaks, CA 91423

Phone

(818) 784-3838

Fax

(818) 784-3803

NPI assigned

Aug 30, 2006

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)

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.

• Shakocat Inc.

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
  • NPI 1770763690

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1992815013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14610 DELANO ST APT 110",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112861",
            "telephone_number": "818-448-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14148 MAGNOLIA BLVD",
            "address_2": "STE 105 AQUATIC PHYSICAL THERAPY AND REHAB",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91423",
            "telephone_number": "818-784-3838",
            "fax_number": "818-784-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "CHARISSE",
        "middle_name": "KRISTINE P",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayanara M Vargas
• Sara Iveth Vargas
• Stephanie Vargas
• Vargo Physical Therapy, Inc.
• Alyssa Victoria Vasquez
• Mario Noe Vasquez
• Marlena Vasquez, LVN
• Stephanie Vasquez
• April Vassantachart, MD
• Samuel Vaughn

• Physical Therapist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.