WLC Vitality in Motion Therapy Team

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

WLC VITALITY IN MOTION THERAPY TEAM

Doing business as

Vitality in Motion

Practice address

35 S Vine St
Harrisburg, IL 62946-1738

Phone

(618) 713-5284

Fax

(618) 294-8699

NPI assigned

Feb 14, 2025

Organization subpart

No

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

Authorized official

Name

Scott Stout, LNHA

Title

Ceo/Owner

Phone

(618) 713-5284

Specialties & licenses 1

Addresses

Other names 1

• Vitality in Motion Doing business as

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1811792864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S VINE ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629461738",
            "telephone_number": "618-713-5284",
            "fax_number": "618-294-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S VINE ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629461738",
            "telephone_number": "618-713-5284",
            "fax_number": "618-294-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WLC VITALITY IN MOTION THERAPY TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "618-713-5284",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality in Motion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason West, M.D.
• Leslie Wheeler, PHARM D
• Carrie Wiggins, RPH
• Laura M Winkleman, MD
• Matthew C Winkleman, MD
• Sherry Elizabeth Womble
• Mary E. York, PTA
• Michael L York, MD
• Hisham T Youssef, MD RADIOLOGIST

• Rehabilitation Clinic/Center in Harrisburg, IL
• Providers in Harrisburg, IL by specialty
• Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.