Organization Active NPI

Vital Kinesis PLLC

  • Neurology Physical Therapist
  • Bellevue, WA
National Provider Identifier
1821729666
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
Legal business name
VITAL KINESIS PLLC
Practice address
2800 Northup Way Ste 200
Bellevue, WA 98004-1440
Phone
(253) 234-4601
NPI assigned
Jun 22, 2022
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Jenny ChangNPI 1891209326
Title
Physical Therapist/Owner
Phone
(404) 368-6583

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X
Neurology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251N0400X Primary

Addresses

Primary practice location

2800 Northup Way Ste 200
Bellevue, WA 98004-1440

Mailing address

2800 Northup Way Ste 200
Bellevue, WA 98004-1440
Phone (253) 234-4601

National Provider Directory

National Provider Directory

Locations

14028 NE Bel Red Rd
Ste 103
Bellevue, WA 98007
Phone (304) 506-3876

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1821729666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 NORTHUP WAY STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041440",
            "telephone_number": "253-234-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 NORTHUP WAY STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041440",
            "telephone_number": "253-234-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL KINESIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "404-368-6583"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.