Vitam PLLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT-2717 Issued in ID

Legal business name

VITAM PLLC

Practice address

3858 N Garden Center Way
Suite 102
Boise, ID 83703-5008

Phone

(208) 830-1668

NPI assigned

Jun 14, 2013

Organization subpart

No

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

Authorized official

Name

Kathy Marie Berg, DPT,MS,CSCS, FAFS

Title

Owner

Phone

(208) 830-1668

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.

• Jacqueline Marie Schrempp, ND, NMD, LAC

  • Naturopath
  • Eagle, ID
  • NPI 1043794225
  NPD (past)

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1619316460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3858 N GARDEN CENTER WAY",
            "address_2": "SUITE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035008",
            "telephone_number": "208-830-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3858 N GARDEN CENTER WAY",
            "address_2": "SUITE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035008",
            "telephone_number": "208-830-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-830-1668",
        "authorized_official_credential": "DPT,MS,CSCS, FAFS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ID",
            "license": "PT-2717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Visionworks, Inc. (Visionworks)
• Juliann C Visser, PA-C
• Vista Chiropractic
• Vitanovu, P.C.
• Corinne Vitley
• Anthony David Vitto, PA-C
• Kasey Vitto
• Edward R Vivier

• Orthopedic Physical Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Orthopedic Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.