Organization Active NPI

VP Rehab Care Inc.

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1720182058
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501005841 Issued in MI
Legal business name
VP REHAB CARE INC.
Practice address
1000 E Paris Ave SE
Suite 236
Grand Rapids, MI 49546-3691
Phone
(616) 957-1300
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pasupathy Vadivelu, BACHELORS DEGREE
Title
Physical Therapist
Phone
(616) 957-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501005841 MI Primary

Addresses

Primary practice location

1000 E Paris Ave SE
Suite 236
Grand Rapids, MI 49546-3691

Mailing address

1000 E Paris Ave SE
Suite 236
Grand Rapids, MI 49546-3691
Phone (616) 957-1300

National Provider Directory

National Provider Directory

Locations

1000 East Paris Ave SE
Ste 236
Grand Rapids, MI 49546
Phone (616) 957-1300

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720182058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE",
            "address_2": "SUITE 236",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463691",
            "telephone_number": "616-957-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE",
            "address_2": "SUITE 236",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463691",
            "telephone_number": "616-957-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VP REHAB CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VADIVELU",
        "authorized_official_first_name": "PASUPATHY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "616-957-1300",
        "authorized_official_credential": "BACHELORS DEGREE"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • 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.