Vitality Health Regeneration Inc
Organization Active NPI Sports Physician Chiropractor · Thayne, WY
NPI 1467054262 · NPPES record last updated Nov 16, 2020
Key facts
- NPI
- 1467054262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sports Physician Chiropractor 111NS0005X
- Legal business name
- VITALITY HEALTH REGENERATION INC
- Practice address
- 383 N Main Street, Ste. 1
Thayne, WY 83127 - Phone
- (307) 883-4000
- Fax
- (307) 883-4001
- NPI assigned
- Nov 16, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Scott M Sessions, DC, CCSP
- Title
- Doctor and Owner
- Phone
- (307) 883-4000
Practitioners 2
-
Scott M. Sessions, DC, CCSP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210202000833 | WY | Part B Supplier - Clinic/Group Practice | 0345654455 |
Receives reassigned benefits from 2 practitioners Practice locations: Thayne, WY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor |
111NS0005X | Yes | ||
| Medical Specialty Clinic/Center | 261QM2500X | |||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
383 N Main Street, Ste. 1
Thayne, WY 83127
Mailing address
PO Box 1466
Thayne, WY 83127-1466
Phone (307) 883-4000
Other providers in Thayne, WY
- Thayne Emts
- Therapy Works LLC
- Therapy Works, LLC
- Keira Marie Trauntvein
- Valley Xray LLC
- Anna Voigt
- Kristen Amber Walters
- Jimmy Douglas Wheeler
- Kristle J Wolff
All providers in Thayne, WY · Sports Physician Chiropractor in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.