VINCENT PHYSICAL THERAPY CORPORATION (NPI# 1225009871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225009871 |
| Entity Type | Organization |
| Organization Name | VINCENT PHYSICAL THERAPY CORPORATION |
| Practice Address |
2700 E Foothill Blvd Ste 101 Pasadena CA 91107-3443 |
| Practice Telephone | 6264494347 |
| Practice Fax Number | 6264494317 |
| Mailing Telephone | 6264494347 |
| Mailing Fax Number | 6264494317 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | MR. MICHEL VINCENT (CEO, PRESIDENT) |
| Authorized Official Telephone | 6264494347 |
| Authorized Official Credential | PT, MOMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
========= | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD GROUP NUMBER | ZZZ03532Z | 01 |
| Street Address |
2700 E FOOTHILL BLVD STE 101 |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912521642 | Rose Bowl Aquatics Center | Clinic/Center | 360 N Arroyo Blvd, Pasadena, CA 91103-3201 | 2020-05-28 |
| 1215594981 | Aim Physical Therapy, Inc. | Clinic/Center | 1021 E Walnut St Ste 101, Pasadena, CA 91106-1479 | 2019-05-28 |
| 1558874719 | Julia Hayes | Clinic/Center | 180 S Madison Ave Apt 4, Pasadena, CA 91101-2573 | 2017-11-09 |
| 1669787495 | Arroyo Physical Therapy | Clinic/Center | 1720 E Washington Blvd, 208, Pasadena, CA 91104-2779 | 2010-08-17 |
| 1619122819 | Kimberly J. Bozart, Physical Therapy, A Professional Corporation | Clinic/Center | 345 S Lake Ave, Suite 201, Pasadena, CA 91101-5030 | 2008-12-02 |
| 1417111873 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 177 E Colorado Blvd, Pasadena, CA 91105-1936 | 2008-07-15 |
| 1033395405 | Select Physical Therapy Holdings Inc | Clinic/Center | 301 N Lake Ave, Suite 201, Pasadena, CA 91101-4107 | 2008-01-16 |
| 1386827384 | Therapy Right | Clinic/Center | 615 Harris Ave, Pasadena, TX 77506-3114 | 2007-12-12 |
| 1588865877 | Perry Health & Rehabilitation PC | Clinic/Center | 1001 Fairmont Pkwy Ste L, Pasadena, TX 77504-2970 | 2007-05-31 |
| 1427163237 | Puno Physical Therapy Services, Inc | Clinic/Center | 750 E Green St, 308, Pasadena, CA 91101-2120 | 2006-08-20 |
| Find all providers in PASADENA | ||||
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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.