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

Q: What is Vital Physical Therapy Inc.'s NPI number?

The NPI number for Vital Physical Therapy Inc. is 1174867154. It was assigned to this organization in the NPPES registry on November 15, 2012.

Q: What is Vital Physical Therapy Inc.'s specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Cardiopulmonary, with taxonomy code 2251C2600X.

Active since November 15, 2012

5820 OBERLIN DR STE 111, SAN DIEGO, CA 92121(858) 255-7976(858) 255-7969 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2018, Dec 15, 2015 (2 updates tracked since 2015).

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About Vital Physical Therapy Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITAL PHYSICAL THERAPY INC. (NPI 1174867154) is a healthcare organization registered as a cardiopulmonary in San Diego, California and active in the NPI registry since November 2012. The organization maintains a secondary practice location in San Diego and lists Komal Deokule, President, as its authorized official.

NPPES Registry Identity

NPI1174867154

Entity TypeOrganization

Primary Taxonomy2251C2600X

Legal Business NameVITAL PHYSICAL THERAPY INC.

Location Address5820 OBERLIN DR STE 111San Diego, CA 92121-3743

Mailing AddressPo Box 910883San Diego, CA 92191-0883 · (858) 255-7976 · Fax (858) 255-7969

Phone(858) 255-7976

Fax(858) 255-7969

Organization SubpartNo

Authorized OfficialKomal DeokulePresident · (858) 255-7976

Enumeration DateNovember 15, 2012

Last NPPES UpdateAugust 22, 20182 updates tracked since enumeration

✔ NPI 1174867154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · CardiopulmonaryRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251C2600X

License✔ Licensed in CA · 35986

Definition

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.

5820 OBERLIN DR STE 111, San Diego, CA 92121

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Secondary Practice Location 1

Location 12555 Camino Del Rio S, STE 102San Diego, CA 92108-3704 · Phone (858) 255-7976 · Fax (858) 255-7969

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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