Organization Active NPI

Vibranthealthconsultantsllc

  • Mechanotherapist
  • Mill Valley, CA
National Provider Identifier
1205073541
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X
MechanotherapistGroup: 193200000X MULTI-SPECIALTY GROUP 172M00000X Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.