VBNC Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VBNC PHYSICAL THERAPY PLLC

Practice address

4770 Yelm Hwy SE
Lacey, WA 98503-4986

Phone

(509) 715-9864

NPI assigned

Apr 19, 2021

Organization subpart

No

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

Authorized official

Name

Nelson Daniel Rojas Mieres, PTNPI 1760925416

Title

Physical Therapist

Phone

(509) 715-9864

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

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

• Nelson Daniel Rojas Mieres, PT

  • Physical Therapist
  • Lacey, WA
  • NPI 1760925416
  Medicare reassignment Care Compare group NPD Authorized official
• Christina Burke Boehmer, DPT

  • Physical Therapist
  • Olympia, WA
  • NPI 1265949408
  Medicare reassignment Care Compare group NPD
• Kathryn Dewitt

  • Physical Therapist
  • Lacey, WA
  • NPI 1639536931
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1427639798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 CHEROKEE LOOP SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985136205",
            "telephone_number": "360-915-7369",
            "fax_number": "360-688-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 YELM HWY SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985034986",
            "telephone_number": "509-715-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VBNC PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "ROJAS MIERES",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "509-715-9864",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jo Vargas, DNP, ARNP
• Nicole Dominique Jalandoni Vasquez
• Lesley Fiona Vaughan, OTR/L
• Elaine Vaughn, LMHC
• Matthew S Vaughn, MFT
• Diana E. Velikova, M.D.
• Swetha Deekshitulu Vempati, BDS, MS, DDS
• Michelle Venida
• Venn R. Peterson, D.D.S., Inc.
• Karla Vernon, RN

• Physical Therapy Clinic/Center in Lacey, WA
• Providers in Lacey, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.