VITAL SELF PHYSICAL THERAPY, LLC (NPI# 1578909487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578909487 |
| Entity Type | Organization |
| Organization Name | VITAL SELF PHYSICAL THERAPY, LLC |
| Practice Address |
7610 Pennsylvania Ave Forestville MD 20747-4701 |
| Practice Telephone | 3135506367 |
| Practice Fax Number | 3016691873 |
| Mailing Telephone | 3135506367 |
| Mailing Fax Number | 3016691873 |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2013-06-18 |
| Authorized Official Name | LAUREN H COLLINS (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3135506367 |
| Authorized Official Credential | MPT, CLT-LANA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
24460 | MD | Ambulatory Health Care Facilities |
| Street Address |
7610 PENNSYLVANIA AVE |
| City | FORESTVILLE |
| State | MD |
| Zip Code | 20747-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306807797 | Harold Oliver Alexander | Obstetrics & Gynecology | 7610 Pennsylvania Ave, Suite 305, Forestville, MD 20747-4701 | 2006-03-28 |
| 1063955631 | Warner Implant, Tmd, & Sleep Apnea Center | Clinic/Center | 7610 Pennsylvania Ave, Suite 302, Forestville, MD 20747-4701 | 2016-11-29 |
| 1497207369 | John Patton | Psychologist | 7610 Pennsylvania Ave, 203, Forestville, MD 20747-4701 | 2016-10-26 |
| 1588045959 | Affiliated Sante Group | Counselor | 7610 Pennsylvania Ave, Suite 203, Forestville, MD 20747-4701 | 2015-06-11 |
| 1407284995 | Take Charge Juvenile Diversion Program, Inc. | Case Management | 7610 Pennsylvania Ave, Suite 300, Forestville, MD 20747-4701 | 2013-10-22 |
| 1811329733 | Tamarah Teixeira | Counselor | 7610 Pennsylvania Ave, Forestville, MD 20747-4701 | 2013-08-01 |
| 1649612284 | Warner Dental Care | Dentist | 7610 Pennsylvania Ave, Suite 302, Forestville, MD 20747-4701 | 2013-07-24 |
| 1588004485 | Shana Ashley Dicks | Dentist | 7610 Pennsylvania Ave, Ste #302, Forestville, MD 20747-4701 | 2013-06-25 |
| 1730438136 | Lee-ann Hawkins | Counselor | 7610 Pennsylvania Ave, 203, Forestville, MD 20747-4701 | 2012-08-31 |
| 1134486079 | Basics Group Practice, LLC | Psychologist | 7610 Pennsylvania Ave, Suite #203, Forestville, MD 20747-4701 | 2012-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609362649 | Afua Birago Opoku-debrah | Optometrist | 3309 Forestville Road, Forestville, MD 20747 | 2018-07-02 |
| 1386161644 | Anyinwi Suh Frankai | Home Health Aide | Apt 104 Silver Hill Court, District Heights, MD 20747 | 2017-08-28 |
| 1811418858 | House of Still Inc | Case Management | 5416 Stoney Meadows Drive, District Heights, MD 20747 | 2017-06-29 |
| 1952844193 | Ashley Lynn Roberson | Social Worker | 7610 Pennsylvania Ave Ste 203, Forestville, MD 20747 | 2016-11-20 |
| 1396120622 | Help N Hands Transportation | Non-emergency Medical Transport (VAN) | 6120 Surrey Square Ln, T-3, District Heights, MD 20747 | 2015-07-28 |
| 1912254491 | Robin Maria West | Home Health Aide | 21 Tunic Ave, Capitol Hieghts, MD 20747 | 2012-08-14 |
| 1467713529 | Natasha Tann | Home Health Aide | 1966 Rochelle Ave, # 922, District Heights, MD 20747 | 2012-06-06 |
| 1568755585 | Jamar Domonic Smith | Physical Therapist | 2810 Walters Lane Suite 100, District Heights, MD 20747 | 2011-05-24 |
| 1366615288 | Sld Services | Assisted Living Facility | 7402 Kipling Park Way, District Heights, MD 20747 | 2008-04-11 |
| 1285777375 | Lorenzo Austin | Chiropractor | 5730-a Silver Hill Rd, District Heights, MD 20747 | 2007-02-15 |
| Find all providers in zip 20747 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790055036 | Sever Effectiveness Strategies Inc | Clinic/Center | 6478 Mirabel Road, Forestville, CA 95436-1483 | 2012-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821307 | My Concierge Pt LLC | Clinic/Center | 9141 Gracious End Ct Apt 104, Columbia, MD 21046-2095 | 2020-11-04 |
| 1730794967 | Lz Pt and Wellness, LLC | Clinic/Center | 8375 Jumpers Hole Rd Ste 202, Millersville, MD 21108-1271 | 2020-09-14 |
| 1083224877 | Silver Lining Physical Therapy & Wellness | Clinic/Center | 7050 Oakland Mills Rd Ste 130, Columbia, MD 21046-2269 | 2020-08-06 |
| 1790302925 | Hanson Physical Therapy & Sports Performance | Clinic/Center | 750 State Route 3 S Ste 5, Gambrills, MD 21054-1306 | 2020-07-03 |
| 1891312575 | Flamm Physical Therapy and Wellness, LLC | Clinic/Center | 2801 Guilford Ave, Baltimore, MD 21218-5485 | 2020-06-29 |
| 1073139036 | Woo Physical Therapy and Wellness | Clinic/Center | 8247 Hickory Hollow Dr, Glen Burnie, MD 21060-8721 | 2020-06-24 |
| 1851917892 | Mgpt, LLC | Clinic/Center | 5901 Montrose Rd Apt N402, Rockville, MD 20852-4729 | 2020-06-24 |
| 1811513278 | Manigault Enterprise, L.L.C. | Clinic/Center | 2103 Woodtop Way, Bel Air, MD 21015-6370 | 2020-06-22 |
| 1114543089 | True Sports Physical Therapy, LLC | Clinic/Center | 9030 State Route 108 Ste B, Columbia, MD 21045-1990 | 2020-06-17 |
| 1427673482 | True Sports Physical Therapy, LLC | Clinic/Center | 1305 Governors Ct Ste D, Abingdon, MD 21009-2345 | 2020-06-15 |
| Find all providers with the same taxonomy | ||||
| City | FORESTVILLE |
| Zip Code | 20747 |
Please comment or provide details below to improve the information on VITAL SELF PHYSICAL THERAPY, LLC.
| 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.