NPIMap

Organization Active NPI

Ygnacio Valley Phys Therapy

  • Orthopedic Physical Therapist
  • Danville, CA
National Provider Identifier
1528057072
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT5367 Issued in CA
Legal business name
YGNACIO VALLEY PHYS THERAPY
Practice address
530 La Gonda Way
Suite C
Danville, CA 94526-1727
Phone
(925) 820-0518
Fax
(925) 820-7247
NPI assigned
Oct 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Mr. Arlyn Ray Vandyke, PT
Title
Owner
Phone
(925) 820-0518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT5367 CA Primary

Addresses

Primary practice location

530 La Gonda Way
Suite C
Danville, CA 94526-1727

Mailing address

530 La Gonda Way
Suite C
Danville, CA 94526-1727
Phone (925) 820-0518

Other names 1

  • Ygnacio Valley Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

530 La Gonda Way
Ste C
Danville, CA 94526
Phone (925) 820-0518

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1528057072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 LA GONDA WAY",
            "address_2": "SUITE C",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261727",
            "telephone_number": "925-820-0518",
            "fax_number": "925-820-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LA GONDA WAY",
            "address_2": "SUITE C",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261727",
            "telephone_number": "925-820-0518",
            "fax_number": "925-820-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YGNACIO VALLEY PHYS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "VANDYKE",
        "authorized_official_first_name": "ARLYN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-820-0518",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT5367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ygnacio Valley Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.