Vitality Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VITALITY PHYSICAL THERAPY LLC

Practice address

1437 Saint Charles St Ste 125
Houma, LA 70360-5951

Phone

(985) 257-2382

NPI assigned

Nov 9, 2024

Last updated

Nov 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sydne Neal Freeman, DPT

Title

Owner/Physical Therapist

Phone

(985) 856-3329

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

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

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731110400000",
    "number": "1427872233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CLEARWATER LN",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602542",
            "telephone_number": "985-856-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 SAINT CHARLES ST STE 125",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605951",
            "telephone_number": "985-257-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "SYDNE",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "985-856-3329",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kay Villalobos, FNP / PMHNP
• Schatzie-Chedly Vincent, DMD
• Brylee E Vining
• Rachel Viola
• Visionworks, Inc.
• Carlos Ernesto Viteri-Yaquian, MD
• Brandy Vo
• Rakitha Monique Volter-Jones
• Vishal Ashok Vyas, M.D.
• Julie Waalk

• Physical Therapy Clinic/Center in Houma, LA
• Providers in Houma, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; 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.