Vita Physical Therapy and Wellness LLC

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

Organization subpart

No

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-LANA

Title

Physical Therapist

Phone

(860) 416-8754

Specialties & licenses 1

Addresses

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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vision Eyeland Super Optical LLC
• Vision Performance Center of Fort Collins, LLC
• Visionzone LLC
• Visiting Therapists, LLC
• Jennifer N. Vissers, REGISTERED DIETITION
• Vital Link Chiropractic, LLC
• Vitality Medical Center
• Errin Linsey Vito, MPT
• Heather Danielle Vitone, CRNA
• Nidia Milena Vivas Hurtado

• Physical Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physical Therapist in Colorado

• 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.