Active NPI
Jacob William Vogel, ATC
- Physical Therapist
- Tucson, AZ
National Provider Identifier
1124407481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3602510A
- Practice address
- 3988 E Fort Lowell Rd
Tucson, AZ 85712-1010 - Phone
- (520) 488-5291
- Fax
- (520) 689-6810
- NPI assigned
- May 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 3602510A | IN | Primary |
Addresses
Primary practice location
3988 E Fort Lowell Rd
Tucson, AZ 85712-1010
Mailing address
2850 N Country Club Rd
Tucson, AZ 85716-1910
Phone (520) 322-6274
Other practice location 1
3229 N 500 W
Marion, IN 46952
Phone (765) 661-8871
Other practice location 2
2485 E Wabash St Ste 100
Frankfort, IN 46041
Phone (765) 485-8100
Other practice location 3
6264 E Grant Rd
Tucson, AZ 85712-5882
Phone (520) 884-0001
Other practice location 4
10445 N Oracle Rd
Tucson, AZ 85737-9358
Phone (520) 488-1133
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.sol-pt.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3602510A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agility Spine & Sports Physical Therapy and Rehabilitation LP | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Oro Valley, AZ
- NPI 1861219677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1124407481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 N COUNTRY CLUB RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857161910",
"telephone_number": "520-322-6274",
"fax_number": "520-509-4496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3988 E FORT LOWELL RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857121010",
"telephone_number": "520-488-5291",
"fax_number": "520-689-6810"
}
],
"practiceLocations": [
{
"address_1": "3229 N 500 W",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "IN",
"postal_code": "46952",
"country_code": "US",
"telephone_number": "765-661-8871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2485 E Wabash St Ste 100",
"address_purpose": "LOCATION",
"city": "Frankfort",
"state": "IN",
"postal_code": "46041",
"country_code": "US",
"telephone_number": "765-485-8100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6264 E Grant Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857125882",
"country_code": "US",
"telephone_number": "520-884-0001",
"fax_number": "520-884-0199",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10445 N Oracle Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857379358",
"country_code": "US",
"telephone_number": "520-488-1133",
"fax_number": "520-689-6819",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOGEL",
"first_name": "JACOB",
"middle_name": "WILLIAM",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-20",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "3602510A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.sol-pt.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3988 E Fort Lowell Rd",
"city": "Tucson",
"state": "AZ",
"country_code": "US",
"postal_code": "857121010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.