Active NPI
Vigor and Vitality, LLC
Doing business as AzulCare
- Physical Medicine & Rehabilitation Physician
- San Marcos, TX
National Provider Identifier
1053317529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- San Antonio, TX
- NPI 1316075922
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.