Active NPI
Victor Mode Physical Therapy & Wellness
- Physical Therapy Clinic/Center
- Los Angeles, CA
National Provider Identifier
1982374229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- VICTOR MODE PHYSICAL THERAPY & WELLNESS
- Practice address
- 1114 W 56TH St
Los Angeles, CA 90037-3904 - Phone
- (415) 937-7303
- NPI assigned
- Sep 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Itoro Victor
- Title
- Owner
- Phone
- (415) 937-7303
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1114 W 56TH St
Los Angeles, CA 90037-3904
Mailing address
1114 W 56TH St
Los Angeles, CA 90037-3904
Other practice location 1
978 Moreno Ave
Palo Alto, CA 94303-3733
Phone (415) 937-7303
National Provider Directory
National Provider Directory- Tax ID family
- Victor Mode Physical Therapy Wellness
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Palo Alto, CA
- NPI 1528658010
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Menlo Park, CA
- NPI 1275802456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631836800000",
"number": "1982374229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 W 56TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900373904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 W 56TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900373904",
"telephone_number": "415-937-7303"
}
],
"practiceLocations": [
{
"address_1": "978 Moreno Ave",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943033733",
"country_code": "US",
"telephone_number": "415-937-7303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VICTOR MODE PHYSICAL THERAPY & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-17",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A",
"authorized_official_last_name": "VICTOR",
"authorized_official_first_name": "ITORO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "415-937-7303"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.