NPIMap

Organization Active NPI

Vibrantcare Outpatient Rehabilitation West Inc

Doing business as VibrantCare Outpatient Rehabilitation - Tucson East

  • Physical Therapy Clinic/Center
  • Tucson, AZ
National Provider Identifier
1699779223
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
OTC-3770 Issued in AZ
Legal business name
VIBRANTCARE OUTPATIENT REHABILITATION WEST INC
Doing business as
VibrantCare Outpatient Rehabilitation - Tucson East
Practice address
6246 E Pima St
Suite 160
Tucson, AZ 85712-3156
Phone
(520) 721-0319
Fax
(520) 733-5810
NPI assigned
Jun 10, 2005
Last updated
Nov 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Mr. David Smith
Title
Ceo
Phone
(916) 782-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X OTC-3770 AZ Primary

Addresses

Primary practice location

6246 E Pima St
Suite 160
Tucson, AZ 85712-3156

Mailing address

PO Box 840301
Los Angeles, CA 90084-0301
Phone (916) 789-8115

Other names 1

  • VibrantCare Outpatient Rehabilitation - Tucson East Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5440 E Southern Ave
Ste 101
Mesa, AZ 85206
Phone (480) 641-3533

9139 W Thunderbird Rd
Ste 225
Peoria, AZ 85381
Phone (602) 317-3800

402 E Greenway Pkwy
Ste 12
Phoenix, AZ 85022
Phone (602) 789-6878

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

10659 Grand Ave
Ste 16
Sun City, AZ 85351
Phone (623) 972-1575

1950 E Southern Ave
Ste 106
Tempe, AZ 85282
Phone (480) 456-9008

4515 S McClintock Dr
Ste 110
Tempe, AZ 85282
Phone (480) 839-2196

4600 S Park Ave
Ste 1
Tucson, AZ 85714
Phone (520) 573-3073

5669 N Oracle Rd
Ste 2202
Tucson, AZ 85704
Phone (520) 888-1317

6367 E Tanque Verde Rd
Ste 10
Tucson, AZ 85715
Phone (520) 721-0319

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1699779223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900840301",
            "telephone_number": "916-789-8115",
            "fax_number": "916-773-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6246 E PIMA ST",
            "address_2": "SUITE 160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123156",
            "telephone_number": "520-721-0319",
            "fax_number": "520-733-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANTCARE OUTPATIENT REHABILITATION WEST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-782-1212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "OTC-3770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VibrantCare Outpatient Rehabilitation - Tucson East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.