Active NPI
Vector Rehabilitation
- Physical Therapist
- Eureka, CA
National Provider Identifier
1598809253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- VECTOR REHABILITATION
- Practice address
- 2121 Myrtle Ave
Eureka, CA 95501-3323 - Phone
- (707) 442-6463
- Fax
- (707) 442-5427
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chele Lee Shaw
- Title
- Office Manager
- Phone
- (707) 442-6463
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Hand Occupational Therapist | 225XH1200X |
Addresses
Primary practice location
2121 Myrtle Ave
Eureka, CA 95501-3323
Mailing address
2121 Myrtle Ave
Eureka, CA 95501-3323
Phone (707) 442-6463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GPT000600 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205884800000",
"number": "1598809253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 MYRTLE AVE",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013323",
"telephone_number": "707-442-6463",
"fax_number": "707-442-5427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 MYRTLE AVE",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013323",
"telephone_number": "707-442-6463",
"fax_number": "707-442-5427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VECTOR REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2008-03-19",
"status": "A",
"authorized_official_last_name": "SHAW",
"authorized_official_first_name": "CHELE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "707-442-6463"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GPT000600",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.