Itoro Victor

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

36282 Issued in CA

Practice address

68 Willow Rd
Menlo Park, CA 94025-3653

Phone

(866) 839-6979

NPI assigned

Dec 18, 2011

Sex

Female

Sole proprietor

Yes

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)

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.

• Victor Mode Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Palo Alto, CA
  • NPI 1528658010
  NPD Authorized official
• Victor Mode Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
  • NPI 1982374229

  Physical Therapist

  NPD Authorized official

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

{
    "created_epoch": "1324166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1275802456",
    "addresses": [
        {
            "country_code": "BG",
            "country_name": "Bulgaria",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "17 MARIN DRINOV",
            "city": "SOFIA",
            "state": "EUROPE",
            "postal_code": "1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 WILLOW RD",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253653",
            "telephone_number": "866-839-6979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Sagebrush Ln",
            "address_purpose": "LOCATION",
            "city": "Islandia",
            "state": "NY",
            "postal_code": "117491744",
            "country_code": "US",
            "telephone_number": "631-796-6757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "ITORO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-18",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031872",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Mallari Vega, NP
• Manuel A Velasco Jr.
• Tyler Vellozzi
• Seyon Verdtzabella
• Rachel Lucille Veronneau
• Amy L Vieira, PA
• Ferdinand Lacanlale Villarosa, NP
• Martha Lettie Villavicencio, MFTI
• Jaya Virmani, MD
• Justin Vo, M.D.

• Physical Therapist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.