Organization Active NPI

Vert Center of Santa Monica

  • Physical Therapy Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1255660221
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
VERT CENTER OF SANTA MONICA
Doing business as
Vert Sport Therapy and Rehab
Practice address
3011 Wilshire Blvd
Santa Monica, CA 90403-2301
Phone
(310) 264-8385
Fax
(310) 264-9076
NPI assigned
Dec 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Authorized official

Name
Dr. Walter Kurt Theis Jr., M.D
Title
Manager
Phone
(310) 264-8385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3011 Wilshire Blvd
Santa Monica, CA 90403-2301

Mailing address

3011 Wilshire Blvd
Santa Monica, CA 90403-2301
Phone (310) 264-8385

Other names 1

  • Vert Sport Therapy and Rehab Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1255660221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032301",
            "telephone_number": "310-264-8385",
            "fax_number": "310-264-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032301",
            "telephone_number": "310-264-8385",
            "fax_number": "310-264-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERT CENTER OF SANTA MONICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "THEIS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "KURT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-264-8385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vert Sport Therapy and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.