Vital Fortitude Rehab and Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VITAL FORTITUDE REHAB AND PERFORMANCE

Practice address

5030 Camino de la Siesta
San Diego, CA 92108-3116

Phone

(619) 365-5463

Fax

(877) 503-7863

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Evan Johnson, PT, DPTNPI 1669148052

Title

Physical Therapist, Owner, Founder

Phone

(909) 503-5438

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Evan Johnson, PT, DPT

  • Physical Therapist
  • Patterson, CA
  • NPI 1669148052
  NPD Authorized official

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1295513562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 N ST # N",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165712",
            "telephone_number": "909-503-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CAMINO DE LA SIESTA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083116",
            "telephone_number": "619-365-5463",
            "fax_number": "877-503-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL FORTITUDE REHAB AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER, FOUNDER",
        "authorized_official_telephone_number": "909-503-5438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vista Hills
• Lauren Vista
• Evangeline Viste
• Lily Taylor Dancis Vistica
• Vital Care Health Systems
• Vital Physical Therapy Inc.
• Kenneth Craig Vitale, M.D.
• Mitchell Taylor Vitale, PHARM.D.
• Vitalhealth Home Care PC
• Vitality Acupuncture

• Physical Therapy Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.