AGNES LUCAS VIGILIA-MARAYA (NPI# 1376760264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376760264 |
| Entity Type | Individual |
| Full Name | AGNES LUCAS VIGILIA-MARAYA |
| Credential | PHYSICAL THERAPIST |
| Practice Address |
8110 Northbury Dr Fort Wayne IN 46818-1843 |
| Practice Telephone | 2604893704 |
| Practice Fax Number | 2604893704 |
| Mailing Telephone | 2604893704 |
| Mailing Fax Number | 2604893704 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT05002613A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8110 NORTHBURY DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46818-1843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464938 | Heather Smith | Day Training/Habilitation Specialist | 9434 Lima Road, Suite C, Fort Wayne, IN 46818 | 2018-07-20 |
| 1184146748 | Danielle Macias | Speech-Language Pathologist | 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 | 2017-07-14 |
| 1801326533 | Kimberly M Kindt | Optometrist | 9426 Lima Rd Ste C, Fort Wayne, IN 46818 | 2017-06-15 |
| 1578983359 | Sarah Buzzard | Occupational Therapy Assistant | 9426 Lima Road, A, Fort Wayne, IN 46818 | 2014-04-21 |
| 1306196704 | Peter Yang Gaw Go | Occupational Therapist | 3406 Bluefield Place, Fort Wayne, IN 46818 | 2012-09-12 |
| 1043593536 | Carol Lynn Steinbach | Massage Therapist | 12101 Hand Rd., Fort Wayne, IN 46818 | 2011-09-21 |
| 1295058071 | Summit Nutrition Services, LLC | Dietitian, Registered | 3027 Mariposa Place, Fort Wayne, IN 46818 | 2010-03-08 |
| 1184871899 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 9104 Strathmore Lane, Fort Wayne, IN 46818 | 2008-08-25 |
| 1285851121 | Angela Coleman | Dentist | 10505 Lima Road, Fort Wayne, IN 46818 | 2007-04-20 |
| 1942335534 | Angela S King | Dentist | 9019 Lima Road, Fort Wayne, IN 46818 | 2007-02-22 |
| Find all providers in zip 46818 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720370794 | Pediatric Links,llc | Physical Therapist | 7317 W Jefferson Blvd, Fort Wayne, IN 46804-6237 | 2011-05-10 |
| 1073772315 | Kristine L. Waffle | Physical Therapist | 827 Upland Ridge Dr, Fort Wayne, IN 46825-2286 | 2008-06-02 |
| 1629692405 | Nicole Kuhn | Physical Therapist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 | 2020-06-08 |
| 1114407111 | Jena Bontreger | Physical Therapist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2018-08-19 |
| 1467930008 | Kayley O'connor Colvin | Physical Therapist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1934 | 2018-08-06 |
| 1134622616 | Darcy Hill | Physical Therapist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1934 | 2018-03-12 |
| 1013464122 | Elaine Coleman Prouty | Physical Therapist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2016-09-07 |
| 1578989570 | Haley Burkhart | Physical Therapist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2014-03-14 |
| 1548512320 | Nola Katinsky | Physical Therapist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2012-10-04 |
| 1720341050 | Renee Helmkamp | Physical Therapist | 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 | 2012-06-21 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46818 |
Please comment or provide details below to improve the information on AGNES LUCAS VIGILIA-MARAYA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.