JVL International, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

763 Issued in MA

Legal business name

JVL INTERNATIONAL, INC

Doing business as

FYZICAL Revere

Practice address

199 Shirley Ave
Revere, MA 02151-3258

Phone

(781) 629-7110

Fax

(781) 629-4754

NPI assigned

Sep 17, 2013

Organization subpart

No

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

Authorized official

Name

Mr. James Van Lam

Title

President

Phone

(508) 521-3234

Specialties & licenses 1

Addresses

Other names 1

• FYZICAL Revere Doing business as

Tax ID family

JVL International Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JVL International, Inc

  • Physical Therapy Clinic/Center
  • Brockton, MA
  • NPI 1437418340
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• JVL International, Inc

  • Physical Therapy Clinic/Center
  • Brockton, MA
  • NPI 1437418340
  NPPES parent name

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1871929281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 SHIRLEY AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513258",
            "telephone_number": "781-629-7110",
            "fax_number": "781-629-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 SHIRLEY AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513258",
            "telephone_number": "781-629-7110",
            "fax_number": "781-629-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JVL INTERNATIONAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-521-3234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Revere",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John L. Benecchi, DMD
• Amy Johnson
• Stephanie Ann Johnson, LICSW
• Josue Kerven Joseph
• Jurgina Elezi DMD LLC
• Rosette Kaluma, MS-PREP
• Jocelyne K Kamdem, RPH,PHARM D
• Vashkar Karim
• Michelle Karsis Sheridan, CNP
• Batool Kazim, M.D.

• Physical Therapy Clinic/Center in Revere, MA
• Providers in Revere, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

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