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AGNES LUCAS VIGILIA-MARAYA PHYSICAL THERAPIST
NPI 1376760264
Physical Therapist - Pediatrics in Fort Wayne, IN

Active since April 20, 2007
8110 NORTHBURY DR, FORT WAYNE, IN 46818(260) 489-3704(260) 489-3704 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Agnes Lucas Vigilia-maraya Physical Therapist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGNES LUCAS VIGILIA-MARAYA PHYSICAL THERAPIST (NPI 1376760264) is an individual pediatrics provider in Fort Wayne, Indiana, licensed in Indiana (PT05002613A) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1376760264
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameAGNES LUCAS VIGILIA-MARAYACredential: PHYSICAL THERAPIST
Location Address8110 NORTHBURY DRFort Wayne, IN 46818-1843
Mailing Address8110 Northbury DrFort Wayne, IN 46818-1843 · (260) 489-3704 · Fax (260) 489-3704
Phone(260) 489-3704
Fax(260) 489-3704
Sole ProprietorYes
Enumeration DateApril 20, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1376760264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in IN · PT05002613A
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
8110 NORTHBURY DR, Fort Wayne, IN 46818
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agnes Lucas Vigilia-maraya Physical Therapist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Agnes Vigilia-maraya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Creative Health Care Management LLC
92 mi
Physical Therapist
11570 E 126TH STREET
Fishers, IN 46037
  • Reassigned Medicare billing, Indiana enrollment
  • 151 clinicians in this Medicare group
NPI 1902350457 (317) 579-0166

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agnes Vigilia-maraya's NPI number?

The NPI number for Agnes Vigilia-maraya is 1376760264. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Agnes Vigilia-maraya located?

Agnes Vigilia-maraya practices at 8110 Northbury Dr, Fort Wayne, IN 46818. The listed phone number is (260) 489-3704.

What is Agnes Vigilia-maraya's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Agnes Vigilia-maraya enrolled in Medicare?

Yes. Agnes Vigilia-maraya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Agnes Vigilia-maraya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Agnes Vigilia-maraya reassigns Medicare benefits to Creative Health Care Management LLC (Fishers, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Agnes Vigilia-maraya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Agnes Vigilia-maraya was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.