Vincent Physical Therapy Corporation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VINCENT PHYSICAL THERAPY CORPORATION

Practice address

2700 E Foothill Blvd Ste 101
Pasadena, CA 91107-3443

Phone

(626) 449-4347

Fax

(626) 449-4317

NPI assigned

Jan 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michel Vincent, PT, MOMTNPI 1952310914

Title

Ceo, President

Phone

(626) 449-4347

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Vincent Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vincent Physical Therapy

  • Physical Therapist
  • Pasadena, CA
  • NPI 1023236379
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michel Vincent

  • Physical Therapist
  • Pasadena, CA
  • NPI 1952310914
  Medicare reassignment Care Compare group Authorized official
• Dan Woodworth

  • Physical Therapist
  • Pasadena, CA
  • NPI 1851305486
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225009871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E FOOTHILL BLVD STE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073443",
            "telephone_number": "626-449-4347",
            "fax_number": "626-449-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E FOOTHILL BLVD STE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073443",
            "telephone_number": "626-449-4347",
            "fax_number": "626-449-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "626-449-4347",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MOMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "ZZZ03532Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rex B Villegas, O.D.
• Nicole Villeneuve, LVN
• Samantha Viloria
• Vincent C Hung MD, Inc
• Vincent Physical Therapy
• Vincent W H Wang DDS Inc
• Vincent-Hayley Enterprises, Inc.
• Michel Vincent
• Ivan Vingua, RN
• Julie Bao Vinh, PT, DPT

• Physical Therapy Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.