Active NPI
Vista Physical Therapy and Rehab PC
- Physical Therapist
- Vista, CA
National Provider Identifier
1013305069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT41928
- Legal business name
- VISTA PHYSICAL THERAPY AND REHAB PC
- Practice address
- 115 Main St
Vista, CA 92084-6007 - Phone
- (760) 726-9660
- Fax
- (760) 726-8865
- NPI assigned
- Dec 29, 2014
- Last updated
- Dec 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacob A Barrack, DPT
- Title
- President
- Phone
- (760) 726-9660
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT41928 | CA | Primary |
Addresses
Primary practice location
115 Main St
Vista, CA 92084-6007
Mailing address
115 Main St
Vista, CA 92084-6007
Phone (760) 726-9660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 21
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Vista, CA
- NPI 1790182632
-
- Physical Therapist
- Oceanside, CA
- NPI 1356724637
-
- Massage Therapist
- Vista, CA
- NPI 1710560297
-
- Massage Therapist
- Vista, CA
- NPI 1336913177
-
- Acupuncturist
- Vista, CA
- NPI 1689941791
-
- Massage Therapist
- Vista, CA
- NPI 1215501085
-
- Massage Therapist
- Vista, CA
- NPI 1083314991
-
- Massage Therapist
- Vista, CA
- NPI 1346825700
-
- Chiropractor
- Vista, CA
- NPI 1063747517
-
- Orthopedic Chiropractor
- Vista, CA
- NPI 1013932078
-
- Independent Medical Examiner Chiropractor
- Rancho Bernardo, CA
- NPI 1770700973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419811200000",
"number": "1013305069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MAIN ST",
"city": "VISTA",
"state": "CA",
"postal_code": "920846007",
"telephone_number": "760-726-9660",
"fax_number": "760-726-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MAIN ST",
"city": "VISTA",
"state": "CA",
"postal_code": "920846007",
"telephone_number": "760-726-9660",
"fax_number": "760-726-8865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISTA PHYSICAL THERAPY AND REHAB PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-29",
"last_updated": "2014-12-29",
"status": "A",
"authorized_official_last_name": "BARRACK",
"authorized_official_first_name": "JACOB",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-726-9660",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT41928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
- Vista Immediate Care
- Vista Kids Dental PC
- Vista Medical Equipment
- Vista Medical Investors LTD Partnership (Life Care Center of Vista)
- Vista Optometric Center
- Vista Post Acute Center LLC (Astor Healthcare Center)
- Vista Senior Living
- Vista Senior Living II
- Vista Skilled LLC (Vista View Post Acute)
- Vista Usd
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.