Vadim Ciobanu, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0012950 Issued in CO

Practice address

301 Hwy 24 North
Buena Vista, CO 81211

Phone

(719) 395-3124

Fax

(719) 395-3128

NPI assigned

Sep 24, 2014

Last updated

Sep 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primacare Rehabilitation P.C.Group PAC ID 2961591474, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Primacare Rehabilitation P.C.

  • Physical Therapy Clinic/Center
  • Suwanee, GA
  • NPI 1154408615
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1679975320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W 4TH ST APT 403",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HWY 24 NORTH",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "81211",
            "telephone_number": "719-395-3124",
            "fax_number": "719-395-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOBANU",
        "first_name": "VADIM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0012950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Carmichael, MA, LPCC
• Catholic Health Iniatives Colorado (CRSG Cardio B Vista)
• Catholic Health Initiatives Colorado (CommonSpirit Orthopedics Buena Vista)
• Central Colorado Prosthetics and Orthotics, LLC
• Audrey Paige Ceschin, M. ED
• Collegiate Peaks Counseling, LLC
• Collegiate Peaks Eyecare PLLC
• Colorado Autism Consultants
• Colorado Autism Consultants, LLC
• Colorado Autism Consultants, LLC

• Physical Therapist in Buena Vista, CO
• Providers in Buena Vista, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.