Vert San Fernando Valley Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

VERT SAN FERNANDO VALLEY INC

Doing business as

VERT Sports Therapy and Rehabilitation

Practice address

18420 Hart St
Reseda, CA 91335-4317

Phone

(818) 344-8378

Fax

(818) 344-8377

NPI assigned

Jul 25, 2012

Last updated

Nov 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin A Theis

Title

Managing Partner

Phone

(818) 344-8378

Specialties & licenses 1

Addresses

Other names 1

• VERT Sports Therapy and Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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.

• Andrew S Choi

  • Physical Therapist
  • Santa Monica, CA
  • NPI 1578607081
  Medicare reassignment Care Compare group NPD
• Rebecca Elizabeth McKim, PT, DPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1528820297
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1053667261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18420 HART ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354317",
            "telephone_number": "818-344-8378",
            "fax_number": "818-344-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18420 HART ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354317",
            "telephone_number": "818-344-8378",
            "fax_number": "818-344-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERT SAN FERNANDO VALLEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "THEIS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "818-344-8378",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VERT Sports Therapy and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vela Hospice Care, Inc.
• Marisa Velasquez
• Vicente Velasquez
• Cynthia E Velazquez
• Vert Physical Therapy la LP
• Veteran Scholarship Fund
• Victory Pharmacy
• Victory Plaza Pharmacy Inc (Victory Plaza Pharmacy)
• Vida's Gallery
• Isaac Vielma, M.D.

• Physical Therapist in Reseda, CA
• Providers in Reseda, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.

Verify at the official NPI Registry.