NPIMap

Organization Active NPI

Xcel Sports Medicine LLC

  • Physical Therapy Clinic/Center
  • Vandalia, OH
National Provider Identifier
1730127341
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
10596 Issued in OH
Legal business name
XCEL SPORTS MEDICINE LLC
Practice address
727 Crossroads CT
Vandalia, OH 45377-9415
Phone
(937) 890-9235
NPI assigned
Jun 4, 2006
Last updated
Mar 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Mr. Alistair Gregor Mackenzie, MS, PT
Title
Physical Therapist/ Vice President
Phone
(937) 890-9235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 10596 OH Primary

Addresses

Primary practice location

727 Crossroads CT
Vandalia, OH 45377-9415

Mailing address

727 Crossroads CT
Vandalia, OH 45377-9415
Phone (937) 890-9235

National Provider Directory

National Provider Directory

Locations

727 Crossroads Ct
Vandalia, OH 45377
Phone (937) 890-9235

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1730127341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 CROSSROADS CT",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453779415",
            "telephone_number": "937-890-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 CROSSROADS CT",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453779415",
            "telephone_number": "937-890-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XCEL SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "MACKENZIE",
        "authorized_official_first_name": "ALISTAIR",
        "authorized_official_middle_name": "GREGOR",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ VICE PRESIDENT",
        "authorized_official_telephone_number": "937-890-9235",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "10596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.