Organization Active NPI

Vortex Sensory Rehabilitation Center LLC

  • Developmental Disabilities Clinic/Center
  • Mesa, AZ
National Provider Identifier
1609075480
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
2943 Issued in AZ
Legal business name
VORTEX SENSORY REHABILITATION CENTER LLC
Practice address
4355 E University Dr
Mesa, AZ 85205-7000
Phone
(480) 218-1949
Fax
(480) 218-1950
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Mr. Dale Kurt Moore, OTR/L
Title
Owner
Phone
(480) 218-1949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 2943 AZ Primary

Addresses

Primary practice location

4355 E University Dr
Mesa, AZ 85205-7000

Mailing address

4355 E University Dr
Mesa, AZ 85205-7000
Phone (480) 218-1949

National Provider Directory

National Provider Directory

Locations

4355 E University Dr
Mesa, AZ 85205
Phone (480) 218-1949

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1609075480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057000",
            "telephone_number": "480-218-1949",
            "fax_number": "480-218-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057000",
            "telephone_number": "480-218-1949",
            "fax_number": "480-218-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VORTEX SENSORY REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-218-1949",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "AZ",
            "license": "2943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.