NPIMap

Organization Active NPI

Xcel Sports Medicine

  • Physical Therapy Clinic/Center
  • Vandalia, OH
National Provider Identifier
1811296833
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT10596 Issued in OH
Legal business name
XCEL SPORTS MEDICINE
Practice address
830 Falls Creek Dr.
Vandalia, OH 45377
Phone
(937) 890-9235
Fax
(937) 890-9239
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Mr. Alistair Gregor Mackenzie, MSPT
Title
Owner/Physical Therapist
Phone
(937) 890-9235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT10596 OH Primary

Addresses

Primary practice location

830 Falls Creek Dr.
Vandalia, OH 45377

Mailing address

830 Falls Creek Dr.
Vandalia, OH 45377
Phone (937) 890-9235

National Provider Directory

National Provider Directory

Locations

515 E Main St
Ste D
Anna, OH 45302
Phone (937) 639-2063

3916 Indian Ripple Rd
Ste 150
Dayton, OH 45440
Phone (937) 702-9735

99 Harolds Way
Troy, OH 45373
Phone (937) 890-9235

830 Falls Creek Dr
Vandalia, OH 45377
Phone (937) 890-9235

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1811296833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 FALLS CREEK DR.",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "45377",
            "telephone_number": "937-890-9235",
            "fax_number": "937-890-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 FALLS CREEK DR.",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "45377",
            "telephone_number": "937-890-9235",
            "fax_number": "937-890-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XCEL SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "MACKENZIE",
        "authorized_official_first_name": "ALISTAIR",
        "authorized_official_middle_name": "GREGOR",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "937-890-9235",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "PT10596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.