Vantage Sports and Rehab, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VANTAGE SPORTS AND REHAB, LLC

Practice address

1581 N Main St
Palmer, MA 01069-1232

Phone

(413) 283-8303

Fax

(413) 823-8304

NPI assigned

Jan 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Dmitry Voloshinov, DPT, STS

Title

Owner/Physical Therapist

Phone

(413) 283-8303

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth McIntire, PT

  • Physical Therapist
  • West Springfield, MA
  • NPI 1902189053
  NPD (past)
• Rebecca J. Wing, MPT

  • Physical Therapist
  • Palmer, MA
  • NPI 1275593741
  NPD (past)

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1770814089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 N MAIN ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691232",
            "telephone_number": "413-283-8303",
            "fax_number": "413-823-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 N MAIN ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691232",
            "telephone_number": "413-283-8303",
            "fax_number": "413-823-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE SPORTS AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "VOLOSHINOV",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "413-283-8303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, STS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori L Trask, MD
• Trustees of Tufts University
• Miranda L Tsoumas, PA-C
• Dilipkumar S Vagal, M.D.
• Leanne T.G. Vallee, PA
• Benjamin R Velardi, NP-C
• Leonardo Javier Velazquez, M.D.
• Dmitry Voloshinov, DPT, STS
• Kristie Voloshinov, MPT
• Walgreen Co

• Physical Therapy Clinic/Center in Palmer, MA
• Providers in Palmer, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.