NPIMap

Organization Active NPI

Gainesville Physical Therapy and Rehabilitation Services Inc

  • Physical Therapist
  • Gainesville, FL
National Provider Identifier
1093822173
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT12687 Issued in FL
Legal business name
GAINESVILLE PHYSICAL THERAPY AND REHABILITATION SERVICES INC
Practice address
1234 NW 14TH Ave
Gainesville, FL 32601-4042
Phone
(352) 376-6300
Fax
(352) 372-0661
NPI assigned
Aug 24, 2006
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
Mrs. Vibeke Vala, PTNPI 1861551186
Title
Owner President
Phone
(352) 376-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT3509 FL
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT12687 FL Primary

Addresses

Primary practice location

1234 NW 14TH Ave
Gainesville, FL 32601-4042

Mailing address

1234 NW 14TH Ave
Gainesville, FL 32601-4042
Phone (352) 376-6300

Other identifiers 1

IdentifierTypeStateIssuer
Y9125OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1234 NW 14th Ave
Gainesville, FL 32601
Phone (352) 281-7577

Practitioners & affiliated clinicians

Practitioners 5

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": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093822173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 NW 14TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014042",
            "telephone_number": "352-376-6300",
            "fax_number": "352-372-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 NW 14TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014042",
            "telephone_number": "352-376-6300",
            "fax_number": "352-372-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE PHYSICAL THERAPY AND REHABILITATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALA",
        "authorized_official_first_name": "VIBEKE",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "352-376-6300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT3509",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT12687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y9125",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

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.