Vital Wellness LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

VITAL WELLNESS LLC

Practice address

321 Autumn River Run
Philadelphia, PA 19128-4355

Phone

(267) 908-4825

Fax

(267) 955-9935

NPI assigned

Apr 19, 2024

Last updated

Aug 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Hollenbach, MS, RD, LDN, LAT ATCNPI 1295073096

Title

Founder & Ceo

Phone

(267) 908-4825

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, and the practitioner matching its NPPES authorized official.

• Amanda Hollenbach, MS, RD, LDN, LAT,ATC

  • Registered Dietitian
  • Philadelphia, PA
  • NPI 1295073096

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1790530145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E CATHEDRAL RD STE 45-1483",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282128",
            "telephone_number": "267-908-4825",
            "fax_number": "267-955-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 AUTUMN RIVER RUN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284355",
            "telephone_number": "267-908-4825",
            "fax_number": "267-955-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "HOLLENBACH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "267-908-4825",
        "authorized_official_credential": "MS, RD, LDN, LAT ATC"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Primary Care Clinic LLC
• Vital Step Physical Therapy & Fitness, P.C.
• Vital Support Home Care Agency, Inc.
• Vital Support Home Health Care Agency, Inc.
• Vital Urgent Care LLC
• Nina C Vital, PA-C
• Yola Vital
• Danielle Vitale
• Maria J Vitale, PHARMD
• Michael Anthony Vitale, PHARMD

• Registered Dietitian in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.