Active NPI
Vincent Powers, DPT
- Physical Therapist
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT305077
- Practice address
- 3413 W Pacific Ave Ste 200
Burbank, CA 91505-1598 - Phone
- (818) 841-3936
- Fax
- (818) 841-5974
- NPI assigned
- Nov 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT305077 | CA | Primary |
Addresses
Primary practice location
3413 W Pacific Ave Ste 200
Burbank, CA 91505-1598
Mailing address
1310 S Central Ave
Glendale, CA 91204-2506
Phone (818) 579-2366
Other practice location 1
1300 S Central Ave
Glendale, CA 91204-2506
Phone (818) 579-2395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3413 W Pacific Ave
Suite 200
Burbank, CA 91505-1598
Phone (818) 593-4270
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.87 of 100
- Quality
- 72.95
- Promoting interoperability
- 90
- Improvement activities
- 40
- Cost
- 68.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT305077 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Rehabilitation Inc | Current | Accepting new patients |
Locations
3413 W Pacific Ave
Ste 200
Burbank, CA 91505
Phone (818) 841-3936
1520 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-0711
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Montebello, CA
- NPI 1063570653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1750154126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 S CENTRAL AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042506",
"telephone_number": "818-579-2366",
"fax_number": "818-579-2481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3413 W PACIFIC AVE STE 200",
"city": "BURBANK",
"state": "CA",
"postal_code": "915051598",
"telephone_number": "818-841-3936",
"fax_number": "818-841-5974"
}
],
"practiceLocations": [
{
"address_1": "1300 S Central Ave",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912042506",
"country_code": "US",
"telephone_number": "818-579-2395",
"fax_number": "818-579-2396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWERS",
"first_name": "VINCENT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-06",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT305077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.