Active NPI
Vivo Physical Therapy, Inc.
Doing business as VIVO Physical Therapy
- Physical Therapy Clinic/Center
- Pacific Grove, CA
National Provider Identifier
1417689399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- VIVO PHYSICAL THERAPY, INC.
- Doing business as
- VIVO Physical Therapy
VIVO Rehab - Practice address
- 170 17TH St Ste B
Pacific Grove, CA 93950-7201 - Phone
- (831) 235-6489
- NPI assigned
- Jun 29, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luke Daniel A Adan, PT
- Title
- Owner
- Phone
- (831) 235-6489
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
170 17TH St Ste B
Pacific Grove, CA 93950-7201
Mailing address
170 17TH St Ste B
Pacific Grove, CA 93950-7201
Phone (831) 235-6489
Other names 2
- VIVO Physical Therapy
- VIVO Rehab
National Provider Directory
National Provider DirectoryLocations
170 17th St
Ste B
Pacific Grove, CA 93950
Phone (831) 204-0019
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Pacific Grove, CA
- NPI 1730448192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656460800000",
"number": "1417689399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 17TH ST STE B",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939507201",
"telephone_number": "831-235-6489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 17TH ST STE B",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939507201",
"telephone_number": "831-235-6489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIVO PHYSICAL THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-29",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A",
"authorized_official_last_name": "ADAN",
"authorized_official_first_name": "LUKE DANIEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "831-235-6489",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "VIVO Physical Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "VIVO Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pacific Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.