NPIMap

Organization Active NPI

Vance Physical Therapy

  • Physical Therapist
  • Exeter, CA
National Provider Identifier
1295934412
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25845 Issued in CA
Legal business name
VANCE PHYSICAL THERAPY
Practice address
511 W Visalia Rd
Exeter, CA 93221-1019
Phone
(559) 592-7117
Fax
(559) 592-7112
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Mr. Joshua Logan Vance, MPT
Title
Owner
Phone
(559) 592-7117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT25845 CA Primary

Addresses

Primary practice location

511 W Visalia Rd
Exeter, CA 93221-1019

Mailing address

511 W Visalia Rd
Exeter, CA 93221-1019
Phone (559) 592-7117

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1295934412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W VISALIA RD",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932211019",
            "telephone_number": "559-592-7117",
            "fax_number": "559-592-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W VISALIA RD",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932211019",
            "telephone_number": "559-592-7117",
            "fax_number": "559-592-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "LOGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-592-7117",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.