Vault Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

VAULT PHYSICAL THERAPY LLC

Practice address

615 21St St
Lewiston, ID 83501-3285

Phone

(980) 297-0839

NPI assigned

Dec 19, 2023

Last updated

May 2, 2024By 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

Hannah Gibbs, DPTNPI 1013396951

Title

Owner/DPT

Phone

(208) 413-7062

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

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.

• Hannah Gibbs, DPT

  • Physical Therapist
  • Lewiston, ID
  • NPI 1013396951
  Medicare reassignment NPD Authorized official
• Natalie Ormond, DPT

  • Physical Therapist
  • Lewiston, ID
  • NPI 1861974685
  NPD (past)

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1891563755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20888 KIDD DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015684",
            "telephone_number": "980-297-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 21ST ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835013285",
            "telephone_number": "980-297-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAULT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER/DPT",
        "authorized_official_telephone_number": "208-413-7062",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lawrence Joseph Vanty Jr., PA
• Laura Beth Vervain
• Joanne Vestal, PHARMD
• Jennifer Vigeant, LPN
• Darla Kay Villopoto, LMT
• Jennifer Elaine Vinyard

• Physical Therapist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.