JVL International, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

670 Issued in MA

Legal business name

JVL INTERNATIONAL, INC

Doing business as

FYZICAL - Brockton

Practice address

425 Pleasant St
2ND Floor
Brockton, MA 02301-2533

Phone

(508) 510-5720

Fax

(508) 510-4237

NPI assigned

May 11, 2012

Last updated

Feb 22, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

JVL INTERNATIONAL, INC.As reported in NPPES

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

Authorized official

Name

Mr. James Van Lam

Title

President

Phone

(781) 666-4444

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• FYZICAL - Brockton Doing business as

Tax ID family

JVL International Inc2 organizations share this tax ID, including this one

Part of

JVL International Inc

Other organizations with this tax ID 1

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

• JVL International, Inc

  dba FYZICAL Revere

  • Physical Therapy Clinic/Center
  • Revere, MA
  • NPI 1871929281
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• JVL International, Inc

  dba FYZICAL Revere

  • Physical Therapy Clinic/Center
  • Revere, MA
  • NPI 1871929281
  NPPES parent name

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1437418340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4606",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023034606",
            "telephone_number": "508-510-5720",
            "fax_number": "508-510-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PLEASANT ST",
            "address_2": "2ND FLOOR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012533",
            "telephone_number": "508-510-5720",
            "fax_number": "508-510-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JVL INTERNATIONAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JVL INTERNATIONAL, INC.",
        "enumeration_date": "2012-05-11",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-666-4444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7001000Y61642",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAVARD PILGRIM",
            "identifier": "AA285366",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL - Brockton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Judge, LCSW
• Bernard Jules
• Jeff Stevenson Jules
• Allison Helene Jusczak
• L. Michael Juvet, DDS, MD
• Mickael David Kaculini, OD
• Joseph P Kagan, MD
• Penelope Kagan
• David Mark Kagle, M.D.
• Mary M Kagunye, LPN

• Physical Therapy Clinic/Center in Brockton, MA
• Providers in Brockton, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.