Cecilia Liz Vives Vasquez, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501008788 Issued in MI

Practice address

23701 Red Arrow Hwy
Mattawan, MI 49090

Phone

(269) 668-7770

Fax

(269) 668-7770

NPI assigned

Sep 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Relaxation Station

  • Federal Public Health Clinic/Center
  • Mattawan, MI
  • NPI 1790096931
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1265629927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 WOODBRIDGE CIRCLE",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "49090",
            "telephone_number": "269-639-8915",
            "fax_number": "269-639-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23701 RED ARROW HWY",
            "city": "MATTAWAN",
            "state": "MI",
            "postal_code": "49090",
            "telephone_number": "269-668-7770",
            "fax_number": "269-668-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVES VASQUEZ",
        "first_name": "CECILIA",
        "middle_name": "LIZ",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008788",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004642A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• True Counseling and Consulting PLC
• Van Buren/Cass District Public Health Department
• Van Buren/Cass District Public Health Department
• Jonathan Vandenburgh, DDS
• Colleen Bullard Vanslambrouck, LMSW
• Monica Elise Warner, DC
• Allison Wellington
• Melissa Lynn Williams, LMSW
• Emalean K Wood
• Kalin Shannon Wydick

• Physical Therapist in Mattawan, MI
• Providers in Mattawan, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.