VITALITY AT HOME
NPI 1235777442
Physical Therapist - Geriatrics in Grand Rapids, MI

Active since December 18, 2019
247 LUCE ST SW, GRAND RAPIDS, MI 49534(612) 839-9040 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 27, 2019, Dec 18, 2019 (2 updates tracked since 2019).

About Vitality At Home NPPES

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

VITALITY AT HOME (NPI 1235777442) is a healthcare organization registered as a geriatrics in Grand Rapids, Michigan and active in the NPI registry since December 2019. The organization lists Jennafer Smith, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1235777442
Entity TypeOrganization
Primary Taxonomy2251G0304X
Legal Business NameVITALITY AT HOME
Location Address247 LUCE ST SWGrand Rapids, MI 49534-9607
Mailing Address247 Luce St SwGrand Rapids, MI 49534-9607 · (612) 839-9040
Organization SubpartNo
Authorized OfficialJennafer SmithPhysical Therapist · (612) 839-9040
Enumeration DateDecember 18, 2019
Last NPPES UpdateDecember 27, 20192 updates tracked since enumeration
✔ NPI 1235777442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
247 LUCE ST SW, Grand Rapids, MI 49534

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vitality At Home is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Vitality At Home, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Physical Therapist in Private Practice
NPI 1558619445
247 LUCE ST SW
Grand Rapids, MI 49534
(612) 839-9040
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1447111737
247 LUCE ST SW
Grand Rapids, MI 49534
(616) 644-9155
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1710456330
1430 MONROE AVE NW
Grand Rapids, MI 49505
(616) 685-8800
✔ Accepts Medicare6.8 mi
Physical Therapist in Private Practice
NPI 1740398346
6500 BYRON CENTER AVE SW STE 202
Byron Center, MI 49315
(616) 249-0750
✔ Accepts Medicare7.8 mi
Occupational Therapist in Private Practice
NPI 1285138941
1401 CEDAR ST NE
Grand Rapids, MI 49503
(616) 644-9155
✔ Accepts Medicare8.3 mi
Physical Therapist in Private Practice
NPI 1346312592
3480 CAPITAL AVE SW
Battle Creek, MI 49015
(269) 979-3000
57 mi
Physical Therapist in Private Practice
NPI 1902340508
4040 BEACON ST
Kingsley, MI 49649
(231) 263-1350
✔ Accepts Medicare114 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vitality At Home's NPI number?

The NPI number for Vitality At Home is 1235777442. It was assigned to this organization in the NPPES registry on December 18, 2019.

Where is Vitality At Home located?

Vitality At Home is located at 247 Luce St SW, Grand Rapids, MI 49534. The listed phone number is (612) 839-9040.

What is Vitality At Home's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Is Vitality At Home enrolled in Medicare?

Yes. Vitality At Home is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitality At Home?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Vitality At Home. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (6) and Occupational Therapist in Private Practice (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vitality At Home accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Vitality At Home as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vitality At Home was last updated on December 27, 2019. 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.