Active NPI
Vitaly Rehab Incorporated
- Physical Therapy Clinic/Center
- North Port, FL
National Provider Identifier
1063833671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT26357
- Legal business name
- VITALY REHAB INCORPORATED
- Practice address
- 12450 Timiami Trail
Suite-E
North Port, FL 34287 - Phone
- (941) 257-4763
- NPI assigned
- Dec 27, 2013
- 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. Vitaly Belevitch, MPT
- Title
- Physical Therapist
- Phone
- (941) 249-1913
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT26357 | PA | Primary |
Addresses
Primary practice location
12450 Timiami Trail
Suite-E
North Port, FL 34287
Mailing address
21499 Peachland Blvd
Port Charlotte, FL 33954
Phone (941) 249-1913
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- North Port, FL
- NPI 1023102167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388102400000",
"number": "1063833671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21499 PEACHLAND BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "33954",
"telephone_number": "941-249-1913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12450 TIMIAMI TRAIL",
"address_2": "SUITE-E",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "34287",
"telephone_number": "941-257-4763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALY REHAB INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-27",
"last_updated": "2013-12-27",
"status": "A",
"authorized_official_last_name": "BELEVITCH",
"authorized_official_first_name": "VITALY",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "941-249-1913",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "PA",
"license": "PT26357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Port, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.