Ronald L. Vance Vances Rehabilitation Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501000840 Issued in MI

Legal business name

RONALD L. VANCE VANCES REHABILITATION CENTER

Doing business as

Vances Rehabilitation Center

Practice address

609 N Court Ave
Gaylord, MI 49735-1515

Phone

(989) 732-4753

Fax

(989) 731-3553

NPI assigned

Jul 29, 2005

Last updated

Sep 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Bonnie J Vance

Title

Financial Officer

Phone

(989) 732-4753

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Vances Rehabilitation Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald L. Vance, R.P.T.

  • Physical Therapist
  • Gaylord, MI
  • NPI 1275709248
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1346240454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N COURT AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351515",
            "telephone_number": "989-732-4753",
            "fax_number": "989-731-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N COURT AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351515",
            "telephone_number": "989-732-4753",
            "fax_number": "989-731-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD L. VANCE VANCES REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "989-732-4753",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501000840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P54878",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30377",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3403920",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vances Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Gaylord, MI
• Providers in Gaylord, 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 12, 2012; 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.