DR. IVAN DANIEL VICARIO (NPI# 1427481902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427481902 |
| Entity Type | Individual |
| Full Name | DR. IVAN DANIEL VICARIO |
| Credential | DPT |
| Practice Address |
900 Wilshire Blvd 315 Santa Monica CA 90401-1872 |
| Mailing Address |
900 Wilshire Blvd #315 Santa Monica CA 90401-1872 |
| Practice Telephone | 3104342400 |
| Mailing Telephone | 8583428730 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 40409 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
900 WILSHIRE BLVD 315 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401-1872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801879804 | Goldfarb Rx Enterprises Inc | Pharmacy Technician | 900 Wilshire Blvd, Suite 140, Santa Monica, CA 90401-1872 | 2005-11-22 |
| 1538640958 | Socal Surgical Specialties, LLC. | Clinic/Center | 900 Wilshire Blvd, Santa Monica, CA 90401-1872 | 2018-08-23 |
| 1194174029 | Ashley S Humston | Acupuncturist | 900 Wilshire Blvd, Suite 318, Santa Monica, CA 90401-1872 | 2016-06-10 |
| 1356799100 | Strongharte Fitness & Physical | Physical Therapist | 900 Wilshire Blvd, Suite 318, Santa Monica, CA 90401-1872 | 2016-06-01 |
| 1871958603 | Daniel Stewart | Marriage & Family Therapist | 900 Wilshire Blvd, Suite 314, Santa Monica, CA 90401-1872 | 2015-12-21 |
| 1932519899 | Glenda Maramba | Acupuncturist | 900 Wilshire Blvd, Suite 318, Santa Monica, CA 90401-1872 | 2014-04-30 |
| 1881030989 | Soultice Health Moves | Naturopath | 900 Wilshire Blvd, Suite 314, Santa Monica, CA 90401-1872 | 2013-05-15 |
| 1720323702 | Sofia Costa | Physical Therapist | 900 Wilshire Blvd, Suit #318, Santa Monica, CA 90401-1872 | 2012-12-03 |
| 1790078616 | Murray Clarke | Nutritionist | 900 Wilshire Blvd, Suite 405, Santa Monica, CA 90401-1872 | 2011-05-25 |
| 1588967632 | Samantha Blake Harte | Physical Therapist | 900 Wilshire Blvd, Suite 315, Santa Monica, CA 90401 | 2010-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1720468036 | Stephen J. Kenneally | Marriage & Family Therapist | 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 | 2015-06-02 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| Find all providers in zip 90401 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596869 | Tyler Smith | Physical Therapist | 3040 Paula Dr, Santa Monica, CA 90405-5823 | 2020-10-21 |
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1245869387 | Sean Nguyen Neuman | Physical Therapist | 639 Hill St Apt E, Santa Monica, CA 90405-4441 | 2020-04-01 |
| 1124671821 | Fletcher John Zumbusch | Physical Therapist | 2020 Santa Monica Blvd Ste 401, Santa Monica, CA 90404-2023 | 2019-07-22 |
| 1730742073 | Michael J Lau | Physical Therapist | 2425 Colorado Ave Ste 100, Santa Monica, CA 90404-3594 | 2019-04-22 |
| 1164980595 | Patricia Nona Wright | Physical Therapist | 2621 33rd St, Santa Monica, CA 90405-3110 | 2019-03-05 |
| 1487118196 | Rebecca Egan | Physical Therapist | 849 11th St Apt 104, Santa Monica, CA 90403-1631 | 2019-01-27 |
| 1982191151 | Liza Azeff | Physical Therapist | 1347 23rd St Apt 203, Santa Monica, CA 90404-2025 | 2018-04-13 |
| 1881193761 | Sarah Ramsey Court | Physical Therapist | 1821 Wilshire Blvd Ste 311, Santa Monica, CA 90403-5679 | 2018-02-07 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.