Vital Care Rehabilitation, LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

VITAL CARE REHABILITATION, LLC

Practice address

14545 W Grand Ave
Suite 108
Surprise, AZ 85374-7278

Phone

(623) 544-0300

Fax

(623) 544-0239

NPI assigned

May 31, 2006

Last updated

Oct 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea J McWhorter, DPTNPI 1508869512

Title

Administrator

Phone

(623) 544-0300

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265479406. Details of each certification follow.

• CCN 034509 Comprehensive outpatient rehabilitation facility · Active · Name & address match · Details

Comprehensive outpatient rehabilitation facility certification: CCN 034509

Legal name

VITAL CARE REHABILITATION, LLC

Certification status

Active

Provider type (POS)

Comprehensive outpatient rehabilitation facility

Participating since

Nov 3, 2000

Last certification

Nov 5, 2021

Ownership / control type

Proprietary

Most recent change of ownership

Jan 20, 2011

Facility address

14545 West Grand Avenue, Suite 108
Surprise, AZ 85374

Locations

Practitioners 3

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.

• Andrea J McWhorter, PT, DPT

  • Physical Therapist
  • Surprise, AZ
  • NPI 1508869512
  Medicare reassignment Care Compare group NPD Authorized official
• Luke Kilduff

  • Physical Therapist
  • Surprise, AZ
  • NPI 1619820131
  Medicare reassignment Care Compare group NPD
• Michelle B Garza, PT, DPT

  • Physical Therapist
  • Surprise, AZ
  • NPI 1548200645
  NPD

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1265479406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 W GRAND AVE",
            "address_2": "SUITE 108",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747278",
            "telephone_number": "623-544-0300",
            "fax_number": "623-544-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 W GRAND AVE",
            "address_2": "SUITE 108",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747278",
            "telephone_number": "623-544-0300",
            "fax_number": "623-544-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "MCWHORTER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-544-0300",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Virtue, DPT
• Visionworks, Inc (Visionworks)
• Visionworks, Inc. (Visionworks)
• Anthony Visvardis
• Vita Artes Therapy Services LLC
• Leslie Vitela
• Vu Minh Vo, DMD
• Hannah Michelle Vorhauer-Reams, MS
• Benjamin Voth
• Sonia J Voyles, LPC

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.