NPIMap

Organization Active NPI

Vitality Massage & Life Fitness, LLC

  • Health Educator
  • Sahuarita, AZ
National Provider Identifier
1003178401
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
6998 Issued in AZ
Legal business name
VITALITY MASSAGE & LIFE FITNESS, LLC
Doing business as
Vitality Massage & Life Fitness, LLC
Practice address
15920 S. Rancho Sahuarita Blvd.
Suite#160
Sahuarita, AZ 85629-8012
Phone
(520) 867-8064
Fax
(520) 867-8063
NPI assigned
Jun 12, 2012
Last updated
Jun 12, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
VITALITY SPINE & SPORTS PT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stephen C Hinkle, DPTNPI 1750489217
Title
Owner
Phone
(520) 867-8064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X 6998 AZ Primary

Addresses

Primary practice location

15920 S. Rancho Sahuarita Blvd.
Suite#160
Sahuarita, AZ 85629-8012

Mailing address

15920 S. Rancho Sahuarita Blvd.
Suite#160
Sahuarita, AZ 85629-8012
Phone (520) 867-8064

Other names 1

  • Vitality Massage & Life Fitness, LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Vitality Spine Sports Physical Therapy LLC

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1003178401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15920 S. RANCHO SAHUARITA BLVD.",
            "address_2": "SUITE#160",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298012",
            "telephone_number": "520-867-8064",
            "fax_number": "520-867-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15920 S. RANCHO SAHUARITA BLVD.",
            "address_2": "SUITE#160",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298012",
            "telephone_number": "520-867-8064",
            "fax_number": "520-867-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MASSAGE & LIFE FITNESS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VITALITY SPINE & SPORTS PT, LLC",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-867-8064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": "AZ",
            "license": "6998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Massage & Life Fitness, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sahuarita, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.