Vitalcare Physical Therapy and Rehabilitation Inc

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

Organization subpart

No

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

Authorized official

Name

Leary Dean D McIntosh

Title

President

Phone

(954) 501-1191

Specialties & licenses 1

Addresses

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": []
}

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• Physical Therapist in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Physical Therapist in Alabama

• 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.