Organization Active NPI

Vital Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Washington, DC
National Provider Identifier
1245593326
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
870452 Issued in DC
Legal business name
VITAL PHYSICAL THERAPY LLC
Practice address
2401 M St NW
Washington, DC 20037-1408
Phone
(917) 667-3590
NPI assigned
Jun 22, 2012
Last updated
Jun 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Authorized official

Name
Chili Lati, PTNPI 1174892889
Title
Owner
Phone
(917) 667-3590

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
Physical Therapy Clinic/Center 261QP2000X 870452 DC Primary

Addresses

Primary practice location

2401 M St NW
Washington, DC 20037-1408

Mailing address

1773 Lanier PL NW Apt 22
Washington, DC 20009-2135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120827000273 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3971750944 Receives reassigned benefits from 3 practitioners
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

1150 18th St NW
Ste 130
Washington, DC 20036
Phone (202) 630-3868

2401 M St NW
Washington, DC 20037
Phone (202) 347-1480

Practitioners & affiliated clinicians

Practitioners 3

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": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1245593326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 LANIER PL NW APT 22",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 M ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371408",
            "telephone_number": "917-667-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "LATI",
        "authorized_official_first_name": "CHILI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-667-3590",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "DC",
            "license": "870452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.