Vivid Performance Physical Therapy

LBN: Vivid Performance Physical Therapy
Vivid Performance Physical Therapy is an health care organization with primary practice located at 1517 15Th Street , Northlake TX 76226. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Vivid Performance Physical Therapy can be contacted via phone (269) 377-5117, or through Cole, Spencer Andrew via phone (269) 377-5117.

Contact Information

Primary practice address
1517 15Th Street Northlake TX 76226
Fax:
Website:
Authorized official contact:
Name: Cole, Spencer Andrew PT,DPT,OCS,CSCS

Profile Details

NPI number 1083259139
LBN Legal business name Vivid Performance Physical Therapy
DBA Doing business as
Authorized official Cole, Spencer Andrew PT,DPT,OCS,CSCS
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2019
Last updated Nov 13th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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