VITALITY SPORTS PHYSICAL THERAPY, LLC (NPI# 1942829700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942829700 |
Entity Type | Organization |
Organization Name | VITALITY SPORTS PHYSICAL THERAPY, LLC |
Practice Address |
3841 Riverside Dr Tulsa OK 74105-3045 |
Practice Telephone | 9039187499 |
Mailing Telephone | 9039187499 |
Enumeration Date | 2020-04-13 |
Last Update Date | 2020-04-13 |
Authorized Official Name | JUSTIN CORD DEMOSS (OWNER) |
Authorized Official Telephone | 9039187499 |
Authorized Official Credential | PT, DPT, CSCS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
Street Address |
3841 RIVERSIDE DR |
City | TULSA |
State | OK |
Zip Code | 74105-3045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881208817 | Op Pharmacy LLC | Pharmacy | 2865 E. Skelly Dr., Ste 225, Tulsa, OK 74105 | 2020-09-08 |
1114560554 | Secure Interpretation, LLC | Neurological Surgery | 5561 South Lewis Ave, Tulsa, OK 74105 | 2019-10-17 |
1629547286 | Kealey Jordan Oliver | Occupational Therapist | 3223 E. 31st Steet, Tulsa, OK 74105 | 2018-11-13 |
1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
1235635277 | Brenda Kay Sanders | Speech-Language Pathologist | 4911 S Detroit Ave, Tulsa, OK 74105 | 2018-03-30 |
1417400771 | Caroline Hunter Heineck | Speech-Language Pathologist | 3223 E. 31st St., Tulsa, OK 74105 | 2016-08-03 |
1437509544 | Reliance Care Health Services LLP | Home Health | 5810 S. Peoria Avenue, Tulsa, OK 74105 | 2016-06-20 |
1578921748 | Latisha Henderson | Case Manager/Care Coordinator | 3015 E. Skelly Drive, Suite 103, Tulsa, OK 74105 | 2016-02-03 |
1326424573 | Evelyn J Fennell | Nurse's Aide | 1143 E 57th Place, Tulsa, OK 74105 | 2015-08-10 |
1255717757 | Rebecca Ann Hughes | Dentist | 3150 E 41st St Ste 131, Tulsa, OK 74105 | 2015-08-06 |
Find all providers in zip 74105 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851918353 | Doctorgthept, LLC | Clinic/Center | 6038 E 57th Street, Tulsa, OK 74135-8125 | 2020-06-30 |
1619357852 | Recover LLC | Clinic/Center | 2504 E 14th Pl, Tulsa, OK 74104-4607 | 2015-06-03 |
1508006255 | Therapy Plus Rehabilitation Inc | Clinic/Center | 5226 E 69th Pl, Tulsa, OK 74136-3407 | 2009-02-20 |
1578727939 | Occupational Health Center of The Southwest, P.a. | Clinic/Center | 3900 N. Mingo Rd, Tulsa, OK 74116 | 2008-07-15 |
1952428930 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 9515 E. 51st Street, Suite G, Tulsa, OK 74145 | 2007-03-23 |
1477670552 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 5682 W. Skelly Drive, Tulsa, OK 74107 | 2007-03-23 |
1356404313 | Oklahoma Physical Therapy | Clinic/Center | 10915 E 31st St, B12, Tulsa, OK 74146-1745 | 2006-12-19 |
1457375214 | Physical Rehabilitation Center Inc. | Clinic/Center | 5577 S Lewis Ave, Tulsa, OK 74105-7132 | 2006-07-26 |
1316986722 | Mobile Cardiac Imaging, LLC | Clinic/Center | 7018 S Utica Ave, Tulsa, OK 74136-3907 | 2006-06-05 |
1952817603 | Pelvic Pt Consultants LLC | Clinic/Center | 6767 S Yale Ave Ste B, Tulsa, OK 74136-3302 | 2017-12-18 |
Find all providers in TULSA |
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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.