Vitality Physical Medicine PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

VITALITY PHYSICAL MEDICINE PLLC

Practice address

5335 Eastern Ave Ste C
Davenport, IA 52807-2788

Phone

(563) 424-6400

NPI assigned

May 24, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Earl Brooks, DONPI 1396904462

Title

Owner

Phone

(563) 424-6400

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, IL2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Joseph Earl Brooks, D.O., M.H.A.

  • Physical Medicine & Rehabilitation Physician
  • Davenport, IA
  • NPI 1396904462

  IL

  Medicare reassignment NPD Authorized official
• Krupa Patel, APRN

  • Nurse Practitioner
  • Moline, IL
  • NPI 1902615883
  NPD

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1780376129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 EASTERN AVE STE C",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 EASTERN AVE STE C",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072788",
            "telephone_number": "563-424-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY PHYSICAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-424-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Randall Viel, MS, LAT, ATC
• Antonio P Vigliotti, MD
• Adam F. Vilmont, LISW
• Robert Dean Vining, D.C.
• Virginia Armstrong, Inc
• Vituity-Iowa PLLC
• Cara Marie Voelliger, DNP
• Margaret Olin Meloy Voelliger, LMSW
• Ilya B Volfson, MD
• John J. (Io) Von Arb, D.D.S.

• Physical Medicine & Rehabilitation Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Physical Medicine & Rehabilitation Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.