Organization Active NPI

Vitality Physical Therapy LLC

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1558171256
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VITALITY PHYSICAL THERAPY LLC
Practice address
7700 Northcross Dr # 9032
Austin, TX 78757-1715
Phone
(512) 860-2191
Fax
(866) 660-0543
NPI assigned
Jan 13, 2025
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Jahmel Harris Lee, PTNPI 1871302539
Title
Physical Therapist
Phone
(512) 860-2191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

7700 Northcross Dr # 9032
Austin, TX 78757-1715

Mailing address

PO Box 9032
Austin, TX 78766-9032
Phone (512) 860-2191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250213002977 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2163952599 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

7700 Northcross Dr
#9032
Austin, TX 78757

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1558171256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9032",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787669032",
            "telephone_number": "512-860-2191",
            "fax_number": "866-660-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 NORTHCROSS DR # 9032",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571715",
            "telephone_number": "512-860-2191",
            "fax_number": "866-660-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAHMEL",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "512-860-2191",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.