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

General Provider Information

NPI Number	:	1598520108
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	:	30135 AGOURA RD STE C
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-4338
Country	:	US
Telephone Number	:	818-707-7344
Fax Number	:	818-707-7133

Authorized Official
Title or Position	:	DIRECTOR OF BILLING OPERATIONS
Name	:	BRANDON BENNETT
Credential	:
Telephone Number	:	661-250-9940

Provider Enumeration Date	:	02/14/2024
Last Update Date	:	04/15/2026

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