VITAL LIFE PHYSICAL THERAPY
NPI 1053937508
Clinic/Center - Physical Therapy in Longview, TX

Active since June 21, 2020
2628 BILL OWENS PKWY, LONGVIEW, TX 75604(903) 241-1274(903) 297-6453 Get Directions Write a Review

NPPES record last updated: June 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vital Life Physical Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITAL LIFE PHYSICAL THERAPY (NPI 1053937508) is a healthcare organization registered as a physical therapy in Longview, Texas and active in the NPI registry since June 2020. The organization lists Sarah Yvonne Rudolph, Owner, as its authorized official.

NPPES Registry Identity

NPI1053937508
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameVITAL LIFE PHYSICAL THERAPY
Location Address2628 BILL OWENS PKWYLongview, TX 75604-3001
Mailing Address331 Deerfield Lake CirLongview, TX 75605-7756 · (903) 241-1274 · Fax (903) 297-6453
Fax(903) 297-6453
Organization SubpartNo
Authorized OfficialSarah Yvonne RudolphOwner · (903) 241-1274
Enumeration DateJune 21, 2020
NPPES CertifiedJune 21, 2020
NPI 1053937508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
2628 BILL OWENS PKWY, Longview, TX 75604

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2628 BILL OWENS PKWY
LONGVIEW, TX 75604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vital Life Physical Therapy's NPI number?

The NPI number for Vital Life Physical Therapy is 1053937508. It was assigned to this organization in the NPPES registry on June 21, 2020.

Where is Vital Life Physical Therapy located?

Vital Life Physical Therapy is located at 2628 Bill Owens Pkwy, Longview, TX 75604. The listed phone number is (903) 241-1274.

What is Vital Life Physical Therapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Vital Life Physical Therapy was last updated on June 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.