NPIMap

Organization Active NPI

Vista Outpatient Services

  • Physical Therapist
  • Hershey, PA
National Provider Identifier
1356611560
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VISTA OUTPATIENT SERVICES
Practice address
1021 Springboard Dr
Hershey, PA 17033-8820
Phone
(717) 583-5102
Fax
(717) 583-5127
NPI assigned
Jan 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
James Bouder
Title
Chief Clinical Officer
Phone
(717) 583-5102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1021 Springboard Dr
Hershey, PA 17033-8820

Mailing address

1021 Springboard Dr
Hershey, PA 17033-8820
Phone (717) 583-5102

National Provider Directory

National Provider Directory
Tax ID family
Adult Residential Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1356611560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 SPRINGBOARD DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170338820",
            "telephone_number": "717-583-5102",
            "fax_number": "717-583-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SPRINGBOARD DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170338820",
            "telephone_number": "717-583-5102",
            "fax_number": "717-583-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA OUTPATIENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "BOUDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "717-583-5102"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.