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PHOENIX VITALITY, LLC
NPI 1104776939
General Practice in Leipsic, OH

Active since January 31, 2026
603 E MAIN ST, LEIPSIC, OH 45856(419) 957-9737 Get Directions Write a Review

NPPES record last updated: January 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Vitality, Llc NPPES

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

PHOENIX VITALITY, LLC (NPI 1104776939) is a healthcare organization registered as a general practice in Leipsic, Ohio and active in the NPI registry since January 2026. The organization lists Stephanie Lynn Rodriguez, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1104776939
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePHOENIX VITALITY, LLC
Location Address603 E MAIN STLeipsic, OH 45856-1438
Mailing Address603 E Main StLeipsic, OH 45856-1438 · (419) 957-9737
Phone(419) 957-9737
Organization SubpartNo
Authorized OfficialStephanie Lynn RodriguezNurse Practitioner · (419) 957-0631
Enumeration DateJanuary 31, 2026
NPPES CertifiedJanuary 31, 2026
✔ NPI 1104776939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
603 E MAIN ST, Leipsic, OH 45856
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Phoenix Vitality, LLC's NPI number?

The NPI number for Phoenix Vitality, LLC is 1104776939. It was assigned to this organization in the NPPES registry on January 31, 2026.

Where is Phoenix Vitality, LLC located?

Phoenix Vitality, LLC is located at 603 E Main St, Leipsic, OH 45856. The listed phone number is (419) 957-9737.

What is Phoenix Vitality, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Vitality, LLC was last updated on January 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.