Individual provider Active NPI

Vincent Santos, PT, DPT

  • Physical Therapist
  • Norfolk, VA
National Provider Identifier
1609754845
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP055937T Issued in VA
Practice address
3509 Granby St Ste B
Norfolk, VA 23504-1312
Phone
(757) 423-8885
Fax
(757) 423-8886
NPI assigned
Aug 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT.PT.61689989 WA
Physical Therapist 225100000X CP055937T VA Primary
Physical Therapist 225100000X 308824 CA
Physical Therapist 225100000X CP052139T LA

Addresses

Primary practice location

3509 Granby St Ste B
Norfolk, VA 23504-1312

Mailing address

16803 NE 20TH St
Vancouver, WA 98684-6787
Phone (480) 208-6593

Other practice location 1

4650 W Esplanade Ave Ste 106
Metairie, LA 70006-2765
Phone (504) 885-0007

Other practice location 2

3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473
Phone (800) 521-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251006002766 CA Practitioner - Physical Therapist in Private Practice 4880191089 Reassigns benefits to 1 organization
I20260401000038 LA Practitioner - Physical Therapist in Private Practice 4880191089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Region Rehab LLCGroup PAC ID 4587623764, 10 clinicians
Golden State Orthopedics and SpineGroup PAC ID 8224940739, 186 clinicians

Practice addresses (Care Compare)

10001 Lake Forest Blvd
Suite 102
New Orleans, LA 70127-6204
Phone (504) 281-4521

101 Sand Creek Rd
Suite a
Brentwood, CA 94513-2539
Phone (925) 939-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP052139TLAMDPhysical Therapist
PT61689989WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine CurrentSince Sep 3, 2025 Accepting new patients
Golden State Orthopedics & Spine Current Accepting new patients
Golden State Orthopedics & Spine CurrentSince Sep 3, 2025 Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

101 Sand Creek Rd
#A
Brentwood, CA 94513
Phone (925) 978-6959

4000 Dublin Blvd
Ste 100
Dublin, CA 94568
Phone (800) 943-8099

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

Interoperability endpoints

  • Direct secure messaging: vincent.santos.p1@direct.muirortho.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1609754845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16803 NE 20TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846787",
            "telephone_number": "480-208-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 GRANBY ST STE B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041312",
            "telephone_number": "757-423-8885",
            "fax_number": "757-423-8886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4650 W Esplanade Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700062765",
            "country_code": "US",
            "telephone_number": "504-885-0007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Olympus Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750195473",
            "country_code": "US",
            "telephone_number": "800-521-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-25",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT.PT.61689989",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP055937T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308824",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "CP052139T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.