Active NPI
The Vital Potential
- Neuromusculoskeletal Medicine & OMM Physician
- Lakewood, CO
National Provider Identifier
1740678937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- MT-0016504
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | CO | ||
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | MT.00165404 | CO | |
| Neuromusculoskeletal Medicine & OMM Physician | 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 Potential
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Massage Therapist
- Denver, CO
- NPI 1598159998
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.