Healthcare Provider Details

I. General information

NPI: 1962859207
Provider Name (Legal Business Name): ELENA VOGEL CAHILL DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELENA ROSE VOGEL

II. Dates (important events)

Enumeration Date: 05/17/2016
Last Update Date: 10/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 45TH STREET KIMMEL BLDG
WEST PALM BEACH FL
33407-2413
US

IV. Provider business mailing address

818 NEWTOWN RD
VIRGINIA BEACH VA
23462-1116
US

V. Phone/Fax

Practice location:
  • Phone: 561-844-5255
  • Fax:
Mailing address:
  • Phone: 757-473-8016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305210188
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT33526
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: