Vitality Rehab, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VITALITY REHAB, LLC

Practice address

8333 W McNab Rd
223
Tamarac, FL 33321-3242

Phone

(954) 663-0624

NPI assigned

Oct 26, 2014

Last updated

Oct 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Steven Ziblut, MSPTNPI 1063522621

Title

Managing Partner

Phone

(954) 663-0624

Specialties & licenses 1

Addresses

Locations

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.

• Jeffrey Ziblut

  • Physical Therapist
  • Tamarac, FL
  • NPI 1063522621
  NPD (past) Authorized official

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

{
    "created_epoch": "1414281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414281600000",
    "number": "1801291497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 NW 101ST WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 W MCNAB RD",
            "address_2": "223",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213242",
            "telephone_number": "954-663-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-26",
        "last_updated": "2014-10-26",
        "status": "A",
        "authorized_official_last_name": "ZIBLUT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "954-663-0624",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dinorah Vera, M.D.
• Vivian Vialat Soto, APRN
• Vibrant Vitality LLC
• Luisa Elizabeth Villagomez, LMHC
• Jonmarly Villarroel Garcia
• Jerry Voltaire
• Bharti Wadhwa, RPT
• Allan Howard Wagner, RPH
• George Waked, MD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2930)

• Physical Therapy Clinic/Center in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2014; 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.