VIBRANTCARE OUTPATIENT REHABILITATION WEST INC (NPI# 1699779223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699779223 |
| Entity Type | Organization |
| Organization Name | VIBRANTCARE OUTPATIENT REHABILITATION WEST INC |
| Other Organization Name | VIBRANTCARE OUTPATIENT REHABILITATION - TUCSON EAST |
| Practice Address |
6246 E Pima St Suite 160 Tucson AZ 85712-3156 |
| Mailing Address |
2270 Douglas Blvd Ste 112 Roseville CA 95661-3869 |
| Practice Telephone | 5207210319 |
| Mailing Telephone | 9167821212 |
| Mailing Fax Number | 9167731481 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2010-02-19 |
| Authorized Official Name | MR. DAVID SMITH (CEO) |
| Authorized Official Telephone | 9167821212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
OTC-3770 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| VibrantCare Outpatient Rehabilitation - Tucson East | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991466 | Vibrantcare Outpatient Rehabilitation West Inc | Clinic/Center | 1355 E Florence Blvd, Ste 137, Casa Grande, AZ 85222-5354 | 2005-06-10 |
| 1114921871 | Vibrantcare Outpatient Rehabilitation West Inc | Clinic/Center | 4515 S Mcclintock Dr, Ste 110, Tempe, AZ 85282-7381 | 2005-06-10 |
| Street Address |
6246 E PIMA ST SUITE 160 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-3156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427598879 | Kaitlin Nicole Watchey | Physical Therapist | 6246 E Pima St, Tucson, AZ 85712-3156 | 2017-03-05 |
| 1093076333 | Kathleen A Mcloughlin | Physical Therapist | 6246 E Pima St, Suite 180, Tucson, AZ 85712-3156 | 2012-06-04 |
| 1568651792 | Jeffrey H Dubois | Dentist | 6246 E Pima St, Suite 140, Tucson, AZ 85712-3156 | 2007-10-24 |
| 1427184217 | Nicole Suzanne Gagnaire | Physical Therapist | 6246 E Pima St, Suite 160, Tucson, AZ 85712-3156 | 2007-02-26 |
| 1194834374 | Julia K. Wilkinson | Physical Therapist | 6246 E Pima St, Suite 180, Tucson, AZ 85712-3156 | 2006-08-30 |
| 1407893233 | Ken Lamm Physical Therapy | Physical Therapist | 6246 E Pima St, Suite 180, Tucson, AZ 85712-3156 | 2006-06-01 |
| 1174579080 | Jeffrey H Dubois Dds PC | Dentist | 6246 E Pima St, Ste 140, Tucson, AZ 85712-3157 | 2006-05-25 |
| 1255327532 | Richard M Petronella | Physical Medicine & Rehabilitation | 6246 E Pima St, #14, Tucson, AZ 85712-3156 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572072 | A Wise Move Physical Therapy and Pilates, Pllc | Clinic/Center | 10130 N Oracle Rd Ste 120-130, Tucson, AZ 85704-7646 | 2020-09-11 |
| 1750942645 | Warrior Rx, LLC | Clinic/Center | 6542 E Tanque Verde Rd Ste 120, Tucson, AZ 85715-3849 | 2019-06-22 |
| 1710489885 | Krystal Mckinney Nakata | Clinic/Center | 512 S 6th Ave, Tucson, AZ 85701-2330 | 2018-03-05 |
| 1275032047 | Occupational Health Centers of The Southwest, P.a. (az) | Clinic/Center | 2301 N Forbes Blvd Ste 111, Tucson, AZ 85745-1431 | 2018-02-07 |
| 1427448208 | Ah Physical Therapy | Clinic/Center | 7329 W Clear Canyon Dr, Tucson, AZ 85743-5134 | 2015-01-30 |
| 1003204942 | Orthomed LLC | Clinic/Center | 8820 E Broadway Blvd, Tucson, AZ 85710-4035 | 2014-12-30 |
| 1982962221 | Orthomed, LLC | Clinic/Center | 1010 E. Palmdale St, Suite 130, Tucson, AZ 85714 | 2012-04-24 |
| 1255515920 | Arizona Physical Therapy P.C. | Clinic/Center | 2800 E Ajo Way # 2, Tucson, AZ 85713-6204 | 2007-12-18 |
| 1114110053 | Carondelet Health Network | Clinic/Center | 8290 South Houghton Road, Tucson, AZ 85747-9702 | 2007-08-23 |
| 1215069331 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 3402 E. Broadway Blvd., Tucson, AZ 85716 | 2007-03-12 |
| Find all providers in TUCSON | ||||
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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.