Organization Active NPI

Vita Physical Therapy and Wellness LLC

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1124617501
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VITA PHYSICAL THERAPY AND WELLNESS LLC
Practice address
2550 Stover St Unit F
Fort Collins, CO 80525-4643
Phone
(860) 416-8754
NPI assigned
Jan 11, 2021
Last updated
Jan 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Michelle Bardino Faris, PT, DPT, CLT-LANANPI 1457980492
Title
Physical Therapist
Phone
(860) 416-8754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2550 Stover St Unit F
Fort Collins, CO 80525-4643

Mailing address

2844 Annelise Way
Fort Collins, CO 80525-7659
Phone (860) 416-8754

Other practice location 1

2844 Annelise Way
Fort Collins, CO 80525-7659
Phone (860) 416-8754

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1124617501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2844 ANNELISE WAY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257659",
            "telephone_number": "860-416-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 STOVER ST UNIT F",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254643",
            "telephone_number": "860-416-8754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2844 Annelise Way",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805257659",
            "country_code": "US",
            "telephone_number": "860-416-8754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITA PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "FARIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "BARDINO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "860-416-8754",
        "authorized_official_credential": "PT, DPT, CLT-LANA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.