MEDICARE: VARGO PHYSICAL THERAPY, INC.

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	18554	CA

General Provider Information

NPI Number	:	1467754796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VARGO PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	25115 AVENUE STANFORD STE B215
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-1290
Country	:	US
Telephone Number	:	661-250-9940
Fax Number	:	661-250-9959

Provider Business Practice Location Address
First Line	:	3753 E THOUSAND OAKS BLVD
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91362-3607
Country	:	US
Telephone Number	:	805-497-7900
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROBERT C GRIEDER
Credential	:
Telephone Number	:	818-889-2540

Provider Enumeration Date	:	11/18/2010
Last Update Date	:	04/15/2026

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