Organization Active NPI

Vital Therapeutics Inc.

  • Physical Therapy Clinic/Center
  • Round Lake, IL
National Provider Identifier
1346634318
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070016796 Issued in IL
Legal business name
VITAL THERAPEUTICS INC.
Practice address
536 W Daybreak LN
Round Lake, IL 60073-5696
Phone
(224) 789-0837
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Airene Catapat, DPTNPI 1518210517
Title
President
Phone
(224) 789-0837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 070016796 IL Primary

Addresses

Primary practice location

536 W Daybreak LN
Round Lake, IL 60073-5696

Mailing address

536 W Daybreak LN
Round Lake, IL 60073-5696
Phone (224) 789-0837

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1346634318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 W DAYBREAK LN",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600735696",
            "telephone_number": "224-789-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 W DAYBREAK LN",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600735696",
            "telephone_number": "224-789-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL THERAPEUTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "CATAPAT",
        "authorized_official_first_name": "AIRENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-789-0837",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070016796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.