NPIMap

Organization Active NPI

Vail Sports Medicine Physical Therapy PC

  • Physical Therapist
  • Vail, CO
National Provider Identifier
1508867227
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VAIL SPORTS MEDICINE PHYSICAL THERAPY PC
Practice address
1295 Westhaven Dr
Vail, CO 81657-4395
Phone
(970) 476-7510
Fax
(970) 476-7511
NPI assigned
Aug 3, 2005
Last updated
Jan 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
David C Honda, PTNPI 1801897525
Title
President/Owner
Phone
(970) 476-7510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1295 Westhaven Dr
Vail, CO 81657-4395

Mailing address

PO Box 1311
Vail, CO 81658-1311
Phone (970) 476-7510

Other names 1

  • Vail Sports Medicine & P.T, P.C. Other name

National Provider Directory

National Provider Directory

Locations

27 Main St
Unit 303
Edwards, CO 81632
Phone (970) 926-1293

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1508867227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1311",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816581311",
            "telephone_number": "970-476-7510",
            "fax_number": "970-476-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 WESTHAVEN DR",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816574395",
            "telephone_number": "970-476-7510",
            "fax_number": "970-476-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL SPORTS MEDICINE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "HONDA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "970-476-7510",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vail Sports Medicine & P.T, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vail, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.