VITAL PHYSICAL THERAPY INC.
NPI 1174867154
Physical Therapist - Cardiopulmonary in San Diego, CA

NPI Status: Active since November 15, 2012

Contact Information

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

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  • Organization
  • Physical Therapist
  • Cardiopulmonary

About VITAL PHYSICAL THERAPY INC.

This page provides the complete NPI Profile along with additional information for Vital Physical Therapy Inc., a provider established in San Diego, California operating as a Physical Therapist, focusing in cardiopulmonary . The healthcare provider is registered in the NPI registry with number 1174867154 assigned on November 2012. The practitioner's primary taxonomy code is 2251C2600X with license number 35986 (CA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Komal Deokule (President)

NPI
1174867154
Provider Name
VITAL PHYSICAL THERAPY INC.
Entity Type
Organization
Location Address
5820 OBERLIN DR STE 111 SAN DIEGO, CA 92121
Location Phone
(858) 255-7976
Location Fax
(858) 255-7969
Mailing Address
PO BOX 910883 SAN DIEGO, CA 92191
Mailing Phone
(858) 255-7976
Mailing Fax
(858) 255-7969
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2012
Last Update Date
08-22-2018
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Location Map

Secondary Locations

  • 2555 Camino Del Rio S STE 102
    San Diego, CA 92108
    (858) 255-7976

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Cardiopulmonary

Taxonomy Code
2251C2600X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
35986
License State
CA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KOMAL DEOKULE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(858) 255-7976

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174867154
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2114416614110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 6 + 6 + 1 + 4 + 1 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1174867154 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356849194 JANISSE MARRON-HERNANDEZ
Individual
Behavior Analyst5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1053819896 BLANCA GONZALEZ
Individual
Behavior Technician5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1861992992 EDWARD PIETRENKA
Individual
Behavior Technician5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1346740461 DENEASE TOMASELLI
Individual
Behavior Technician5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1699275743 HANNA ABELEDA
Individual
Behavior Technician5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1679073738 KAITLYN FUSCO
Individual
Behavior Technician5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1104326297 IRENE OYANG
Individual
Behavior Technician5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1174024004 MAYRA ESPINOZA
Individual
Behavior Analyst5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1982105839 ANDREA GANIER
Individual
Behavior Technician5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1558862383 GABRIEL JIMENEZ
Individual
Behavior Technician5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1689175424 ROXANA JUAREZ
Individual
Behavior Technician5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1982105672 ANN LAI
Individual
Behavior Technician5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1609377241 APRIL MESA
Individual
Behavior Technician5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1730681107 ANDREW ROMAN
Individual
Behavior Technician5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1669975744 KAYLA WARTNER
Individual
Behavior Technician5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1023505559 BEVERLY HERMOSILLO
Individual
Behavior Technician5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1255838439 KIMBERLY JEAN UECKER
Individual
Behavior Technician5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1447748850 ALLYSON WILSON
Individual
Behavior Technician5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1699264853 AURORA BELECARIO
Individual
Behavior Technician5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780
1467941278 KARINA GIRON
Individual
Behavior Technician5820 OBERLIN DR STE 111
SAN DIEGO, CA 92121
(818) 241-6780

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174867154, enumerated in the NPI registry as an "organization" on November 15, 2012

The provider is located at 5820 Oberlin Dr Ste 111 San Diego, Ca 92121 and the phone number is (858) 255-7976

This medical organization specializes in Physical Therapist with taxonomy code 2251C2600X with a focus in Cardiopulmonary

This NPI record was last updated on November 15, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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