MEDICARE: ALYSON NICOLE VARGA DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	10347	SC

General Provider Information

NPI Number	:	1245844620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSON NICOLE VARGA DPT

Provider Business Mailing Address
First Line	:	2122 YORK RD STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1925
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 W MARTINTOWN RD STE 101
Second Line	:
City	:	NORTH AUGUSTA
State	:	SC
Zip	:	29841-6104
Country	:	US
Telephone Number	:	803-441-0025
Fax Number	:	803-441-0031

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2020
Last Update Date	:	05/11/2026

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