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VITAL PHYSICAL THERAPY INC. NPI 1174867154


NPI Information

NPI: 1174867154
Provider Name: VITAL PHYSICAL THERAPY INC.
Classification: Physical Therapist - 2251C2600X
Entity Type: Organization

Specialization: Cardiopulmonary

Address:
5820 OBERLIN DR STE 111
SAN DIEGO, CA
ZIP 92121
Phone: (858) 255-7976
Get Directions

VITAL PHYSICAL THERAPY INC. is a cardiopulmonary physical therapist in San Diego, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical Therapy, who has demonstrated specialized knowledge and skill in cardiovascular and pulmonary anatomy and physiology medicine, rehabilitation, critical care, and emergency and trauma. VITAL PHYSICAL THERAPY INC. NPI is 1174867154. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5820 OBERLIN DR STE 111
SAN DIEGO, CA
ZIP 92121-743
Phone: (858) 255-7976
Fax: (858) 255-7969

The provider's authorized official is Komal Deokule .
The authorized official title is President and has the following contact phone number (858) 255-7976.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 8/22/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251C2600XPhysical TherapistCardiopulmonary35986CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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