Active NPI
Bryan Vitagliano, PT, DPT, MBA, MA
- Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1083161723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11574
- Practice address
- 9376 E Bahia Dr
Scottsdale, AZ 85260-1532 - Phone
- (480) 556-8406
- NPI assigned
- Sep 9, 2016
- Last updated
- Sep 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11574 | AZ | Primary |
Addresses
Primary practice location
9376 E Bahia Dr
Scottsdale, AZ 85260-1532
Mailing address
9376 E Bahia Dr
Scottsdale, AZ 85260-1532
Phone (480) 556-8406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11574 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1083161723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9376 E BAHIA DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601532",
"telephone_number": "480-556-8406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9376 E BAHIA DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601532",
"telephone_number": "480-556-8406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITAGLIANO",
"first_name": "BRYAN",
"credential": "PT, DPT, MBA, MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-09",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.