Organization Active NPI

Vortex Physical Therapy and Balance, a Professional Corporation

  • Physical Therapy Clinic/Center
  • San Jose, CA
National Provider Identifier
1518249671
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
26803 Issued in CA
Legal business name
VORTEX PHYSICAL THERAPY AND BALANCE, A PROFESSIONAL CORPORATION
Practice address
3150 Almaden Expy
Suite 120
San Jose, CA 95118-1260
Phone
(408) 540-7622
NPI assigned
Sep 15, 2011
Last updated
Feb 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Authorized official

Name
Mr. Diron Reese Cassidy, MPTNPI 1790080737
Title
Owner
Phone
(408) 540-6722

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 Therapy Clinic/Center 261QP2000X 26803 CA Primary

Addresses

Primary practice location

3150 Almaden Expy
Suite 120
San Jose, CA 95118-1260

Mailing address

3150 Almaden Expy
Suite 120
San Jose, CA 95118-1260
Phone (408) 540-7622

National Provider Directory

National Provider Directory

Locations

2242 Camden Ave
Ste 102
San Jose, CA 95124
Phone (408) 460-0011

3150 Almaden Expy
Ste 120
San Jose, CA 95118
Phone (408) 540-7622

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1518249671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 ALMADEN EXPY",
            "address_2": "SUITE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951181260",
            "telephone_number": "408-540-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ALMADEN EXPY",
            "address_2": "SUITE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951181260",
            "telephone_number": "408-540-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VORTEX PHYSICAL THERAPY AND BALANCE, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "CASSIDY",
        "authorized_official_first_name": "DIRON",
        "authorized_official_middle_name": "REESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-540-6722",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "26803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.