Organization Active NPI

My Virtual Vitality, LLC

  • Occupational Therapist
  • Catonsville, MD
National Provider Identifier
1679236608
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MY VIRTUAL VITALITY, LLC
Practice address
6123 Burnt Oak Rd
Catonsville, MD 21228-2730
Phone
(434) 989-8744
NPI assigned
Oct 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Michelle Yentsch, OTR/L, FMCHCNPI 1154083269
Title
Owner and Occupational Therapist
Phone
(434) 989-8744

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
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

6123 Burnt Oak Rd
Catonsville, MD 21228-2730

Mailing address

6123 Burnt Oak Rd
Catonsville, MD 21228-2730

Other names 1

  • MY Vitality Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220713000830 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284015926 Receives reassigned benefits from 1 practitioner
Practice locations: Catonsville, MD

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": "1634428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1679236608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6123 BURNT OAK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212282730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6123 BURNT OAK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212282730",
            "telephone_number": "434-989-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY VIRTUAL VITALITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-17",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "YENTSCH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER AND OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "434-989-8744",
        "authorized_official_credential": "OTR/L, FMCHC"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MY Vitality Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.