Vanguard Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1135481 Issued in TX

Legal business name

VANGUARD PHYSICAL THERAPY

Practice address

2318 50TH St
Lubbock, TX 79412-2502

Phone

(806) 748-6407

Fax

(806) 687-2806

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Mundheim, D.C.

Title

Director

Phone

(817) 485-2300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649384397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2067",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342067",
            "telephone_number": "817-485-2300",
            "fax_number": "817-485-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122502",
            "telephone_number": "806-748-6407",
            "fax_number": "806-687-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNDHEIM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-485-2300",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1135481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reginald Van Velzen, PT
• Kurtis Dickie Vanderpool, LPC-A
• Bryanna Vandygriff
• Vanessa Coca-Lyle PHD
• Gregory Jay Vanginault, CRNA
• Vann Alexander Home Medical Supplies Inc
• Stephen Brett Vanosdale, D.C.
• Mandy Vanstory, ACNP
• Katherine Vardeman, RN
• Jessica Varela, RDN, LDN

• Physical Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Physical Therapist in Texas

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