NPIMap

Organization Active NPI

Vitalcare Physical Therapy and Rehabilitation Inc

  • Physical Therapist
  • Gardendale, AL
National Provider Identifier
1780131193
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26290 Issued in FL
Legal business name
VITALCARE PHYSICAL THERAPY AND REHABILITATION INC
Practice address
679 Wisteria Way
Gardendale, AL 35071-3680
Phone
(305) 606-2997
NPI assigned
Sep 1, 2016
Last updated
Mar 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Authorized official

Name
Leary Dean D McIntoshNPI 1053540641
Title
President
Phone
(954) 501-1191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT26290 FL Primary

Addresses

Primary practice location

679 Wisteria Way
Gardendale, AL 35071-3680

Mailing address

679 Wisteria Way
Gardendale, AL 35071-3680
Phone (305) 606-2997

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1780131193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 WISTERIA WAY",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713680",
            "telephone_number": "305-606-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 WISTERIA WAY",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713680",
            "telephone_number": "305-606-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALCARE PHYSICAL THERAPY AND REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "LEARY DEAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-501-1191"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.