VITALITY AT HOME (NPI# 1235777442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235777442 |
| Entity Type | Organization |
| Organization Name | VITALITY AT HOME |
| Practice Address |
247 Luce St Sw Grand Rapids MI 49534-9607 |
| Practice Telephone | 6128399040 |
| Mailing Telephone | 6128399040 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-27 |
| Authorized Official Name | JENNAFER SMITH (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 6128399040 |
| Authorized Official Credential | DPT, GCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
247 LUCE ST SW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49534-9607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558619445 | Jennafer Saltzstein Smith | Physical Therapist | 247 Luce St Sw, Grand Rapids, MI 49534-9607 | 2012-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336792324 | Heather Duthler | Social Worker | 648 Kinney Ave Nw, Grand Rapids, MI 49534 | 2019-07-19 |
| 1114473550 | Tari Kruzel | Registered Nurse | 12955 3rd Ave Nw, Grand Rapids, MI 49534 | 2016-08-26 |
| 1972847184 | Indian Trails Camp, Inc. | Day Training, Developmentally Disabled Services | O-1859 Lake Michigan Dr. Nw, Grand Rapids, MI 49534 | 2012-11-15 |
| 1871743815 | Michael Robert Anderson Jr. | Chiropractor | 0-705 Tallmadge Woods Dr. Nw, Suite A, Grand Rapids, MI 49534 | 2008-09-26 |
| 1750459285 | Rick David Saier | Internal Medicine | 1175 Wilson Ave, Walker, MI 49534 | 2006-12-01 |
| 1154414886 | Edward D Young Dds PC | Dentist | 4310 Leonard Nw, Grand Rapids, MI 49534 | 2006-10-02 |
| 1558461756 | Sandra Staublin | Pediatrics | 4288 3 Mile Road, Walker, MI 49534 | 2006-09-25 |
| 1700986999 | Belinda Chou | Pediatrics | 4288 Three Mile Road, Walker, MI 49534 | 2006-09-25 |
| 1639196603 | David Robert Felton | Chiropractor | 4110 Lake Michigan Dr Nw, Grand Rapids, MI 49534 | 2006-07-16 |
| 1952349235 | Chiropractic Plus, P.C. | Chiropractor | 0 699 Tallmadge Wds Nw, Suite B, Grand Rapids, MI 49534 | 2006-06-02 |
| Find all providers in zip 49534 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871094474 | Kymiri Lyn Coles | Physical Therapist | 1000 Edison Ave Ne, Grand Rapids, MI 49504 | 2018-02-28 |
| 1184185563 | Jill Coon | Physical Therapist | 1000 Edison Ave Nw, Grand Rapids, MI 49504-3918 | 2019-03-27 |
| 1093218810 | Ashley Nicole Rodriguez | Physical Therapist | 2000 32nd St Se, Grand Rapids, MI 49508-7910 | 2018-03-18 |
| 1639672512 | Marianne Mullins-macritchie | Physical Therapist | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2018-03-16 |
| 1033611819 | Amber Jean Daman | Physical Therapist | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2018-03-07 |
| 1033611470 | Kaelee Sara Brockway | Physical Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124652763 | Better Care Therapy Services LLC | Physical Therapist | 49872 Alden, Canton, MI 48188-2869 | 2020-02-22 |
| 1184196792 | Alicia Adams | Physical Therapist | 1690 Sweet Grass Dr Se, Caledonia, MI 49316-7309 | 2018-12-20 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1578062329 | Elizabeth Jean Ramey | Physical Therapist | 6567 Elwood Ct N, Allendale, MI 49401-8347 | 2018-02-07 |
| 1689115040 | Bright Life Therapies LLC | Physical Therapist | 7690 Candlewood Dr, Ada, MI 49301 | 2017-03-17 |
| 1356723795 | Elvin Verde | Physical Therapist | 6234 Sunflower Dr, Fennville, MI 49408-7604 | 2015-06-22 |
| 1831586510 | Nirupa Suvarna | Physical Therapist | 2210 Cora St, Apartment Number 8, Wyandotte, MI 48192-4348 | 2015-04-21 |
| 1215324991 | Jais Mathews | Physical Therapist | 44660 Midway Dr, Novi, MI 48375-3953 | 2015-04-21 |
| 1558783134 | Troy Westcott | Physical Therapist | 11655 Superior St, Mohawk, MI 49950-9539 | 2014-01-15 |
| 1174952766 | Beena Mathew | Physical Therapist | 5211, Marsh Road, Okemos Health and Rehabilitation Center, Okemos, MI 48823 | 2013-11-05 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49534 |
Please comment or provide details below to improve the information on VITALITY AT HOME.
| 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.