NPIMap

Organization Active NPI

VW Physical Therapy, Inc.

Doing business as SportsRehab Physical Therapy

  • Physical Therapy Clinic/Center
  • Vacaville, CA
National Provider Identifier
1992303275
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
VW PHYSICAL THERAPY, INC.
Doing business as
SportsRehab Physical Therapy
Practice address
100 Saybrook Ave
Vacaville, CA 95687-4129
Phone
(310) 488-1676
NPI assigned
Oct 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Katherine Voepel WardNPI 1558775965
Title
Owner
Phone
(310) 488-1676

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 1

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

Addresses

Primary practice location

100 Saybrook Ave
Vacaville, CA 95687-4129

Mailing address

100 Saybrook Ave
Vacaville, CA 95687-4129

Other names 1

  • SportsRehab Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210222001458 CA Part B Supplier - Clinic/Group Practice 4486069689 Receives reassigned benefits from 5 practitioners
Practice locations: Vacaville, CA

National Provider Directory

National Provider Directory

Locations

81 Cernon St
Vacaville, CA 95688
Phone (707) 447-9750

Practitioners & affiliated clinicians

Practitioners 9

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": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1992303275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SAYBROOK AVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAYBROOK AVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874129",
            "telephone_number": "310-488-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VW PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "VOEPEL WARD",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-488-1676"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SportsRehab Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.