NPIMap

Organization Active NPI

Vitality Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1629935648
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
VITALITY PEDIATRIC THERAPY LLC
Practice address
2144 Peachtree Rd NW Apt 1025
Atlanta, GA 30309-1768
Phone
(901) 600-6141
NPI assigned
Jan 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Taylor Mathews, M.S., CCC SLPNPI 1275281503
Title
Clinical Director SLP
Phone
(901) 600-6141

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2144 Peachtree Rd NW Apt 1025
Atlanta, GA 30309-1768

Mailing address

2144 Peachtree Rd NW Apt 1025
Atlanta, GA 30309-1768

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1629935648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 PEACHTREE RD NW APT 1025",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 PEACHTREE RD NW APT 1025",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091768",
            "telephone_number": "901-600-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR SLP",
        "authorized_official_telephone_number": "901-600-6141",
        "authorized_official_credential": "M.S., CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

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