Organization Active NPI

Vigor and Vitality, LLC

Doing business as AzulCare

  • Physical Medicine & Rehabilitation Physician
  • San Marcos, TX
National Provider Identifier
1053317529
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
VIGOR AND VITALITY, LLC
Doing business as
AzulCare
Practice address
1330 Wonder World Dr
Ste 104
San Marcos, TX 78666-7567
Phone
(512) 353-5600
Fax
(512) 353-5602
NPI assigned
Jun 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Aneesh Shrikhande
Title
Clinic Administrator and Ceo
Phone
(512) 353-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X TX Primary

Addresses

Primary practice location

1330 Wonder World Dr
Ste 104
San Marcos, TX 78666-7567

Mailing address

1330 Wonder World Dr
Ste 104
San Marcos, TX 78666-7567
Phone (512) 353-5600

Other names 1

  • AzulCare Doing business as

National Provider Directory

National Provider Directory

Locations

1330 Wonder World Dr
Ste 104
San Marcos, TX 78666
Phone (512) 353-5600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053317529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 WONDER WORLD DR",
            "address_2": "STE 104",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667567",
            "telephone_number": "512-353-5600",
            "fax_number": "512-353-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 WONDER WORLD DR",
            "address_2": "STE 104",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667567",
            "telephone_number": "512-353-5600",
            "fax_number": "512-353-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGOR AND VITALITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHRIKHANDE",
        "authorized_official_first_name": "ANEESH",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR AND CEO",
        "authorized_official_telephone_number": "512-353-5600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AzulCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.