MEDICARE: AGNES LUCAS VIGILIA-MARAYA PHYSICAL THERAPIST

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	2251P0200X	Pediatric Physical Therapist	PT05002613A	IN

General Provider Information

NPI Number	:	1376760264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AGNES LUCAS VIGILIA-MARAYA PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	8110 NORTHBURY DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46818-1843
Country	:	US
Telephone Number	:	260-489-3704
Fax Number	:	260-489-3704

Provider Business Practice Location Address
First Line	:	8110 NORTHBURY DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46818-1843
Country	:	US
Telephone Number	:	260-489-3704
Fax Number	:	260-489-3704

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

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	07/09/2007

Similar Medicare Providers

1093652786 — PAIGE ANN BRADLEY
Practice Location Address:

321 W 2ND ST
WAYNE, NE
68787-1843

Practice Phone: 515-332-0039
Practice Fax:

1710769567 — HANNAH NOELLE VALENTE
Practice Location Address:

9637 FALLSTON DR
FORT WORTH, TX
76108-1843

Practice Phone: 318-470-5017
Practice Fax:

1710667050 — AMERILAB DIAGNOSTIC CENTER LLC
Practice Location Address:

2001 NW 64TH ST STE 300
FORT LAUDERDALE, FL
33309-1843

Practice Phone: 954-871-2680
Practice Fax: 239-221-1324

1578494274 — ASHLEE DENAE RISING PT, DPT
Practice Location Address:

3731 W COOK RD
FORT WAYNE, IN
46818-9662

Practice Phone: 260-297-4545
Practice Fax:

1033199401 — VIVEK K. SHARMA M.D.
Practice Location Address:

5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN
46818-9701

Practice Phone: 260-432-1568
Practice Fax: 260-432-4969

1982712162 — DR. EUGENE YU SHENG SHIH M.D.
Practice Location Address:

5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN
46818-9701

Practice Phone: 260-432-1568
Practice Fax: 260-432-4969

Directions to “ AGNES LUCAS VIGILIA-MARAYA PHYSICAL THERAPIST” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.