Vital Physical Therapy Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

VITAL PHYSICAL THERAPY SERVICES LLC

Practice address

3619 W Broadway St
Muskogee, OK 74401-2140

Phone

(918) 537-2211

NPI assigned

Oct 23, 2017

Organization subpart

No

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

Authorized official

Name

Muhammad Ali, PT

Title

Owner

Phone

(918) 537-2211

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1396256996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012140",
            "telephone_number": "918-537-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012140",
            "telephone_number": "918-537-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL PHYSICAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-537-2211",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Padma Venkataraman, MD
• Veteran Administration Medical Center
• Zachary Vickers
• Melanie Gayle Vidricksen
• Bailee Viloria
• Vitality Health Solutions, LLC
• Megan L Vitrano
• Danny Hoang Vu Vo, DPM
• Aparna Vuppala, MD
• Wade Pediatrics PC

• Physical Therapist in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.