Vitality Health Collaborative, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

VITALITY HEALTH COLLABORATIVE, LLC

Practice address

425 W Mill St
Eagle River, WI 54521-8002

Phone

(715) 891-5011

NPI assigned

May 18, 2026

Last updated

May 18, 2026By 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

Samantha Weber, DPTNPI 1619571445

Title

Physical Therapist

Phone

(715) 891-5011

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Samantha Weber, DPT

  • Physical Therapist
  • Eagle River, WI
  • NPI 1619571445
  NPD Authorized official

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1447189170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W MILL ST",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545218002",
            "telephone_number": "715-891-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W MILL ST",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545218002",
            "telephone_number": "715-891-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTH COLLABORATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "715-891-5011",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laray Alan Thompson, RPH
• Trans N Aviation/ Travel Care Intl.
• Edward Douglas Tsao, R.PH.
• Dennis J Vandermause, LCSW
• Vilas County Dept of Social Services
• Neil A Wahlstrom, PT, MBA
• Walgreen Co (Walgreens #12545)
• Samantha Weber, DPT
• April Welch, BCBA
• Joshua Michael Welch, PHARMD

• Orthopedic Physical Therapist in Eagle River, WI
• Providers in Eagle River, WI by specialty
• Orthopedic Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.