Active NPI
Vert Center of Santa Monica
- Physical Therapy Clinic/Center
- Santa Monica, CA
National Provider Identifier
1255660221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.