Vdcpt801 LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

VDCPT801 LLC

Practice address

1003 W Fremont Ave
Salt Lake City, UT 84104-2007

Phone

(801) 671-5384

NPI assigned

Feb 25, 2020

Organization subpart

No

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

Authorized official

Name

Virgilio Enrico Pelaez Del Castillo

Title

Member

Phone

(801) 671-5384

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1609400936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 W FREMONT AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841042007",
            "telephone_number": "801-671-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 W FREMONT AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841042007",
            "telephone_number": "801-671-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VDCPT801 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "DEL CASTILLO",
        "authorized_official_first_name": "VIRGILIO ENRICO",
        "authorized_official_middle_name": "PELAEZ",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-671-5384"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.