Organization Active NPI

The Vital Potential

  • Neuromusculoskeletal Medicine & OMM Physician
  • Lakewood, CO
National Provider Identifier
1740678937
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
MT-0016504 Issued in CO
Legal business name
THE VITAL POTENTIAL
Practice address
1075 S Yukon St
Suite 320,
Lakewood, CO 80226-4354
Phone
(303) 642-0376
NPI assigned
Dec 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Mrs. Jamie Lynn Thomas, NMT, RMT, LDMT, CST,
Title
Owner & Practitioner
Phone
(303) 642-0376

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133NN1002X CO
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 204C00000X MT.00165404 CO
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 204D00000X MT-0016504 CO Primary

Addresses

Primary practice location

1075 S Yukon St
Suite 320,
Lakewood, CO 80226-4354

Mailing address

12081 W Alameda Pkwy
Suite 480
Lakewood, CO 80228-2701
Phone (720) 316-0196

National Provider Directory

National Provider Directory
Tax ID family
The Vital Potential2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1075 S Yukon St
Ste 320
Lakewood, CO 80226
Phone (520) 230-2636

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1740678937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12081 W ALAMEDA PKWY",
            "address_2": "SUITE 480",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282701",
            "telephone_number": "720-316-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 S YUKON ST",
            "address_2": "SUITE 320,",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802264354",
            "telephone_number": "303-642-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VITAL POTENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER & PRACTITIONER",
        "authorized_official_telephone_number": "303-642-0376",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NMT, RMT, LDMT, CST,"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CO",
            "license": "MT.00165404",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CO",
            "license": "MT-0016504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.