Individual provider Active NPI

Vibeke Vala, P.T

  • Physical Therapist
  • Gainesville, FL
National Provider Identifier
1861551186
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3509 Issued in FL
Practice address
1234 NW 14TH Ave
Gainesville, FL 32601-4042
Phone
(352) 376-6300
Fax
(352) 372-6106
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3509 FL Primary

Addresses

Primary practice location

1234 NW 14TH Ave
Gainesville, FL 32601-4042

Mailing address

1234 N.W 14TH Ave
Gainesville, FL 32641
Phone (352) 376-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT3509FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Physical Therapy and Rehabilitation Services Inc Physical Therapist Past Accepting new patients
Gainesville Physical Therapy & Wellness LLC Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861551186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 N.W 14TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32641",
            "telephone_number": "352-376-6300",
            "fax_number": "352-372-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 NW 14TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014042",
            "telephone_number": "352-376-6300",
            "fax_number": "352-372-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALA",
        "first_name": "VIBEKE",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT3509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.