VITAL PHYSICAL THERAPY INC. (NPI# 1174867154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174867154 |
| Entity Type | Organization |
| Organization Name | VITAL PHYSICAL THERAPY INC. |
| Practice Address |
5820 Oberlin Dr Ste 111 San Diego CA 92121-3743 |
| Mailing Address |
Po Box 910883 San Diego CA 92191-0883 |
| Practice Telephone | 8582557976 |
| Practice Fax Number | 8582557969 |
| Mailing Telephone | 8582557976 |
| Mailing Fax Number | 8582557969 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | KOMAL DEOKULE (PRESIDENT) |
| Authorized Official Telephone | 8582557976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251C2600X |
Physical Therapist Specialization: Cardiopulmonary |
35986 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2555 Camino Del Rio S, Ste 102, San Diego, CA 921083704 | 8582557976 | 8582557969 |
| Street Address |
5820 OBERLIN DR STE 111 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801382452 | Caitlyn Barnhill | Behavior Technician | 5820 Oberlin Dr Ste 111, San Diego, CA 92121-3743 | 2018-07-06 |
| 1255827895 | Sama Alatrakchi | Behavior Technician | 5820 Oberlin Dr Ste 111, San Diego, CA 92121-3743 | 2018-07-06 |
| 1497240659 | Dominique Adan | Behavior Technician | 5820 Oberlin Dr Ste 111, San Diego, CA 92121-3743 | 2018-06-28 |
| 1124519889 | Ana Arvizu | Behavior Technician | 5820 Oberlin Dr Ste 111, San Diego, CA 92121-3743 | 2018-05-29 |
| 1205326931 | Cynthia Rubio Gomez | Behavior Technician | 5820 Oberlin Dr Ste 111, San Diego, CA 92121-3743 | 2018-05-17 |
| 1972093367 | Cynthia Muennich | Behavior Technician | 5820 Oberlin Dr Ste 111, San Diego, CA 92121-3743 | 2018-05-11 |
| 1811486624 | Amy Cohen | Behavior Technician | 5820 Oberlin Dr Ste 111, San Diego, CA 92121-3743 | 2018-05-07 |
| 1467941278 | Karina Giron | Behavior Technician | 5820 Oberlin Dr Ste 111, San Diego, CA 92121-3743 | 2018-05-07 |
| 1699264853 | Aurora Belecario | Behavior Technician | 5820 Oberlin Dr Ste 111, San Diego, CA 92121-3743 | 2018-05-03 |
| 1447748850 | Allyson Wilson | Behavior Technician | 5820 Oberlin Dr Ste 111, San Diego, CA 92121-3743 | 2018-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 2251C2600X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Cardiopulmonary |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602016 | Maria Fernanda Penunuri | Physical Therapist | 2694 Escala Cir, San Diego, CA 92108-6720 | 2018-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174095863 | 360 Wellness Physical Therapy | Physical Therapist | 501 S Vincent Ave, West Covina, CA 91790-6712 | 2018-12-19 |
| 1376044040 | Loma Linda University | Physical Therapist | 25455 Barton Rd Ste 208a, Loma Linda, CA 92354-3177 | 2018-02-27 |
| 1134742364 | California Therapy Services LLC | Physical Therapist | 12655 W Jefferson Blvd Fl 4, Los Angeles, CA 90066-7008 | 2020-05-21 |
| 1013537323 | Buibui Rehabilitation Services LLC | Physical Therapist | 17337 Hartland St, Van Nuys, CA 91406-4416 | 2020-04-17 |
| 1184088379 | Costa Sports Physical Therapy Inc | Physical Therapist | 1041 E Yorba Linda Blvd, Suite 209, Placentia, CA 92870-3728 | 2016-04-13 |
| 1649526245 | Kris Ishii | Physical Therapist | 505 Parnassus Ave, San Francisco, CA 94143-0228 | 2012-08-01 |
| 1194991224 | Colleen E. Mahoney | Physical Therapist | 1025 W Olympic, Los Angeles, CA 90015-1329 | 2008-05-08 |
| 1366503856 | Donald Sokolski | Physical Therapist | 1635 Divisadero St, Suite 300, San Francisco, CA 94115-3036 | 2006-12-12 |
| 1396841995 | Tamara L Papapetru | Physical Therapist | 9280 W Stockton Blvd, #116, Elk Grove, CA 95758-8073 | 2006-09-15 |
| 1164434213 | Dorothy E Bida-silver | Physical Therapist | 1201 Alhambra Blvd, Suite 200, Sacramento, CA 95816-5238 | 2006-08-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.