Vital Strength Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VITAL STRENGTH PHYSICAL THERAPY LLC

Practice address

20 Lake St Ste C
Bristol, NH 03222-4009

Phone

(603) 393-0135

NPI assigned

Nov 27, 2024

Organization subpart

No

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

Authorized official

Name

Colleen WallaceNPI 1457964678

Title

Owner/Physical Therapist

Phone

(603) 393-0135

Specialties & licenses 1

Addresses

Other names 1

• Colleen Wallace Other name

Locations

Practitioners 1

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

• Colleen R Wallace, DPT

  • Physical Therapist
  • Bristol, NH
  • NPI 1457964678
  NPD Authorized official

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1306662994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "BRISTOL",
            "state": "NH",
            "postal_code": "032220430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LAKE ST STE C",
            "city": "BRISTOL",
            "state": "NH",
            "postal_code": "032224009",
            "telephone_number": "603-393-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL STRENGTH PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "603-393-0135"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colleen Wallace",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Speare Health Ventures, Inc.
• Lauren Quint Therriault
• Town of Bristol
• Sarah A Vaida, APRN
• Janice E Vaughn, APRN
• Colleen R Wallace, DPT
• Thomas Clifford White, RPH
• Kathleen Wichland, PSYD
• Tina M Winters, FNP-BC

• Physical Therapy Clinic/Center in Bristol, NH
• Providers in Bristol, NH by specialty
• Physical Therapy Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.