Vitality Physical Therapy and Wellness, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

VITALITY PHYSICAL THERAPY AND WELLNESS, INC

Practice address

6804 S Kings Ranch Rd
Ste 103
Gold Canyon, AZ 85118-2960

Phone

(480) 983-8600

Fax

(480) 983-8601

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Michael Zarsadiaz Balbarin, P.T.NPI 1679506786

Title

President

Phone

(480) 329-7447

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 5

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

• Michael Zarsadiaz Balbarin, P.T.

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1679506786
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer K Balbarin, P.T.

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1528017522
  Medicare reassignment Care Compare group
• Marissa Martinez

  • Physical Therapist
  • Mesa, AZ
  • NPI 1093360737
  Medicare reassignment NPD
• Nicole Alexandria Laramie

  • Physical Therapy Assistant
  • Gold Canyon, AZ
  • NPI 1932657483
  NPD (past)
• Holly Lickwala, P.T.

  • Physical Therapist
  • Centralia, WA
  • NPI 1699912295
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1316970437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4632 S CALICO RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979587",
            "telephone_number": "480-329-7447",
            "fax_number": "480-636-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6804 S KINGS RANCH RD",
            "address_2": "STE 103",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182960",
            "telephone_number": "480-983-8600",
            "fax_number": "480-983-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY PHYSICAL THERAPY AND WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "BALBARIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ZARSADIAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-329-7447",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark D. Tenborg, NMD
• Triad Pain Management Group, PLLC
• William Duffy Troutt, NMD
• Disha Vasoya
• Virginia S Rowland MD PC
• Ryan Walton Wade, DC
• Linda Anne Wahby, M.D.
• Christine Waite, MBA, RDN
• Walgreen Co
• Walgreens

• Physical Therapist in Gold Canyon, AZ
• Providers in Gold Canyon, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.