Nathan Andrew List, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

11-05892 Issued in KS

Practice address

3001 Dover Ave Ste B
Fairfield, CA 94533-8999

Phone

(707) 428-1311

NPI assigned

Jul 11, 2018

Last updated

Jul 11, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vibrantcare Outpatient Rehabilitation of California Inc

  dba VibrantCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Castro Valley, CA
  • NPI 1083618573
  NPD (past)
• Vibrantcare Outpatient Rehabilitation of California Inc

  dba VibrantCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Fairfield, CA
  • NPI 1790789295
  NPD (past)

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1114403326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 SEQUOIA ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675024622",
            "telephone_number": "620-560-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 DOVER AVE STE B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945338999",
            "telephone_number": "707-428-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIST",
        "first_name": "NATHAN",
        "middle_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KS",
            "license": "11-05892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madrin Charlene Carol Garcia Linscheid
• Julia Linton
• Jeffrey Arthur Linz, R.N.
• Pamela Anne Lippincott
• Jacob David Lippman, LMFT
• Shania Little
• Benjamin Leo Liu, D.O.
• Jennifer Juo Tzu Liu, DDS MD
• Richard Livingston Jr.
• Leeza Lizana

• Orthopedic Physical Therapist in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.