Organization Active NPI

Vitalee PT

  • Physical Therapist
  • Asheville, NC
National Provider Identifier
1972269678
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VITALEE PT
Practice address
12 Old Charlotte Hwy Ste 30
Asheville, NC 28803-9420
Phone
(828) 774-7391
NPI assigned
Nov 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Samuel Lee PattilloNPI 1750991600
Title
Owner/Physical Therapist
Phone
(828) 774-7391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

12 Old Charlotte Hwy Ste 30
Asheville, NC 28803-9420

Mailing address

31 Hampden Rd
Asheville, NC 28805-2421
Phone (828) 774-7391

Other names 1

  • Vitalee PT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211227000988 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012308158 Receives reassigned benefits from 6 practitioners
Practice locations: Asheville, NC

National Provider Directory

National Provider Directory

Locations

900 Hendersonville Rd
Asheville, NC 28803
Phone (828) 213-8235

12 Old Charlotte Hwy
Ste 30
Asheville, NC 28803
Phone (828) 774-7391

900 Hendersonville Rd
Ste 201B
Asheville, NC 28803
Phone (828) 774-7391

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1972269678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HAMPDEN RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052421",
            "telephone_number": "828-774-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 OLD CHARLOTTE HWY STE 30",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288039420",
            "telephone_number": "828-774-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALEE PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2024-05-07",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "PATTILLO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "828-774-7391"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitalee PT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vitalee PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.