Active NPI
Vibranthealthconsultantsllc
- Mechanotherapist
- Mill Valley, CA
National Provider Identifier
1205073541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- Legal business name
- VIBRANTHEALTHCONSULTANTSLLC
- Practice address
- 655 Redwood Hwy Frontage Rd
Suite 160
Mill Valley, CA 94941-3034 - Phone
- (415) 721-7726
- Fax
- (415) 721-7726
- NPI assigned
- Jan 8, 2009
- Last updated
- Sep 26, 2014
- 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. Matthias F.C. Putz, MT, CMT
- Title
- Owner
- Phone
- (415) 721-7726
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Mechanotherapist | 172M00000X | Primary | ||
| Specialist | 174400000X | |||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
655 Redwood Hwy Frontage Rd
Suite 160
Mill Valley, CA 94941-3034
Mailing address
740 Point San Pedro Rd
San Rafael, CA 94901-2533
Phone (415) 721-7726
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, and the practitioner matching its NPPES authorized official.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Mill Valley, CA
- NPI 1598834244
Nutritionist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411689600000",
"number": "1205073541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 POINT SAN PEDRO RD",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949012533",
"telephone_number": "415-721-7726",
"fax_number": "415-721-7726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 REDWOOD HWY FRONTAGE RD",
"address_2": "SUITE 160",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949413034",
"telephone_number": "415-721-7726",
"fax_number": "415-721-7726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIBRANTHEALTHCONSULTANTSLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-08",
"last_updated": "2014-09-26",
"status": "A",
"authorized_official_last_name": "PUTZ",
"authorized_official_first_name": "MATTHIAS",
"authorized_official_middle_name": "F.C.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "415-721-7726",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MT, CMT"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "172M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Mechanotherapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.