Reactivate Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REACTIVATE PHYSICAL THERAPY INC

Practice address

2451 Rockwood Ave Ste 101
Calexico, CA 92231-4401

Phone

(442) 271-8532

NPI assigned

Oct 15, 2019

Organization subpart

No

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

Authorized official

Name

Orlando C Vazquez, MPTNPI 1851690671

Title

Owner

Phone

(442) 271-8532

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Orlando Caleb Vazquez, P.T.

  • Physical Therapist
  • Calexico, CA
  • NPI 1851690671
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1528600129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 ROCKWOOD AVE STE 101",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314401",
            "telephone_number": "760-890-5868",
            "fax_number": "760-890-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 ROCKWOOD AVE STE 101",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314401",
            "telephone_number": "442-271-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACTIVATE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "442-271-8532",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luz Plascencia, MSW
• Angela Yvette Ponce
• Erica Aimee Ramirez, LMFT
• Manuel Oswaldo Ramirez, PHYSICIAN ASSISTANT
• Nickolas Andrew Ramirez
• Reliance Imperial Pharmacy LLC
• Reliance Imperial Pharmacy LLC
• Retina Institute of California Medical Group
• Jorge Reyes
• Albert E Richardson II, DDS

• Physical Therapist in Calexico, CA
• Providers in Calexico, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.