Organization Active NPI

The Vitality Collective

  • Clinic/Center
  • Milford, CT
National Provider Identifier
1134085038
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE VITALITY COLLECTIVE
Practice address
364 Wheelers Farms Rd Unit 302
Milford, CT 06461-1986
Phone
(203) 906-2513
NPI assigned
Jan 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Charles Chancio III
Title
Founder
Phone
(203) 906-2513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

364 Wheelers Farms Rd Unit 302
Milford, CT 06461-1986

Mailing address

364 Wheelers Farms Rd Unit 302
Milford, CT 06461-1986
Phone (203) 906-2513

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1134085038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 WHEELERS FARMS RD UNIT 302",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064611986",
            "telephone_number": "203-906-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 WHEELERS FARMS RD UNIT 302",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064611986",
            "telephone_number": "203-906-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VITALITY COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "CHANCIO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "203-906-2513",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.