Vibrance Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VIBRANCE PHYSICAL THERAPY LLC

Practice address

3295 Triangle Dr SE Ste 140
Salem, OR 97302-4566

Phone

(503) 510-5520

NPI assigned

Oct 22, 2018

Last updated

Oct 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Helen Akerberg EvansNPI 1013992098

Title

Director

Phone

(503) 510-5520

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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, and the practitioner matching its NPPES authorized official.

• Helen Margareta Akerberg Evans, PT

  • Physical Therapist
  • Salem, OR
  • NPI 1013992098
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1548736028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 SKYWAY CT S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022773",
            "telephone_number": "503-510-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 TRIANGLE DR SE STE 140",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024566",
            "telephone_number": "503-510-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANCE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "AKERBERG EVANS",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-510-5520"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Satin Savannah Verdin
• Andrew Verheyden
• Danna Vermeer
• Gary Veteto, PSS
• Audrey Vetter
• Vibrant Life LLC
• Vibrant Vision and Optical, Inc. (Vibrant Vision and Optical)
• Lorelie Vicente
• Vicki L Seller,M.D.,P.C.
• Vickie Haneberg Ma LPC LLC

• Physical Therapy Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.