NPIMap

Organization Active NPI

Vitality Women'S Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Elmhurst, IL
National Provider Identifier
1225433121
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070013653 Issued in IL
Legal business name
VITALITY WOMEN'S PHYSICAL THERAPY AND WELLNESS, LLC
Practice address
263 N York St
Suite 200
Elmhurst, IL 60126-2758
Phone
(331) 215-4164
Fax
(331) 223-9724
NPI assigned
Nov 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Jennifer Sergeant Hungate, PT, DPT, WCS, MSNPI 1306995139
Title
Physical Therapist/Co-Owner
Phone
(331) 215-4164

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise PhysiologistGroup: 193200000X MULTI-SPECIALTY GROUP 224Y00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 070013653 IL Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 070013648 IL

Addresses

Primary practice location

263 N York St
Suite 200
Elmhurst, IL 60126-2758

Mailing address

263 N York St
Suite 200
Elmhurst, IL 60126-2758
Phone (331) 215-4164

National Provider Directory

National Provider Directory

Locations

263 N York St
Ste 200
Elmhurst, IL 60126
Phone (331) 215-4164

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1225433121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 N YORK ST",
            "address_2": "SUITE 200",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262758",
            "telephone_number": "331-215-4164",
            "fax_number": "331-223-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 N YORK ST",
            "address_2": "SUITE 200",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262758",
            "telephone_number": "331-215-4164",
            "fax_number": "331-223-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY WOMEN'S PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "HUNGATE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SERGEANT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/CO-OWNER",
        "authorized_official_telephone_number": "331-215-4164",
        "authorized_official_credential": "PT, DPT, WCS, MS"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013653",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.