Healthcare Provider Details

I. General information

NPI: 1245841709
Provider Name (Legal Business Name): VIGEO PT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2020
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S WASHINGTON ST STE 501
FALLS CHURCH VA
22046-2940
US

IV. Provider business mailing address

7218 QUINCY AVE
FALLS CHURCH VA
22042-1622
US

V. Phone/Fax

Practice location:
  • Phone: 703-244-6884
  • Fax: 703-940-1077
Mailing address:
  • Phone: 703-244-6884
  • Fax: 703-940-1077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: CESAR AGUSTIN RIOS-VILLENA
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 703-244-6884