Vitality Medical LLC

Primary specialty

Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X

License

2014-01121 Issued in NC

Legal business name

VITALITY MEDICAL LLC

Practice address

16415 Northcross Dr
Suite a
Huntersville, NC 28078-5001

Phone

(704) 895-5448

Fax

(704) 896-1761

NPI assigned

Mar 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jason R Patten, MD

Title

Owner

Phone

(334) 717-1073

Specialties & licenses 1

Addresses

Practitioners 3

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

• Allison May Kucharski, DPT

  • Physical Therapist
  • Matthews, NC
  • NPI 1497125843
  NPD (past)
• Rachel Barcio, PT

  • Physical Therapist
  • Hinesville, GA
  • NPI 1205066818
  NPD (past)
• Katherine Nicole Patten, DPT

  • Physical Therapist
  • Birmingham, AL
  • NPI 1649557992
  NPD (past)

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1639539455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12228 JOURNEYS END TRL",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280782422",
            "telephone_number": "704-895-5448",
            "fax_number": "704-896-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16415 NORTHCROSS DR",
            "address_2": "SUITE A",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785001",
            "telephone_number": "704-895-5448",
            "fax_number": "704-896-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "PATTEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-717-1073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NC",
            "license": "2014-01121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandhya Ventrapragada, MD
• Village Run Inc.
• Vista Health and Wellness, P.a.
• Vital Care Transport Solutions LLC
• Vitality Family Therapy, PLLC
• Charliann Scott Viviano, PT
• Alexis Vogel, PHARMD
• Joanna Lisa Von Staden, MA, LCMHCA, NCC
• Dao Quynh Vuong, MD
• Erika Wadford, BA

• Obesity Medicine (Preventive Medicine) Physician in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Obesity Medicine (Preventive Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.