Vitality Sport and Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

VITALITY SPORT AND REHAB LLC

Practice address

1477 Tiny Town Rd # 323
Clarksville, TN 37042-7202

Phone

(931) 444-3677

Fax

(931) 444-5581

NPI assigned

Oct 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Tameka Duncan, DPT

Title

Owner/Physical Therapist

Phone

(931) 444-3677

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Tameka A Johnson, PT

  • Physical Therapist
  • Clarksville, TN
  • NPI 1497069322
  NPD

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540598400000",
    "number": "1770058562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 TINY TOWN RD # 323",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427202",
            "telephone_number": "931-444-3677",
            "fax_number": "931-444-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 TINY TOWN RD # 323",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427202",
            "telephone_number": "931-444-3677",
            "fax_number": "931-444-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY SPORT AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-27",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "931-444-3677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2018; 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.