VITAL VILLAGE PHYSICAL THERAPY
NPI 1255119319
Physical Therapist in Woodstock, GA

Active since September 20, 2023
116 LOVE LN, WOODSTOCK, GA 30188(706) 994-2852 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vital Village Physical Therapy NPPES

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

VITAL VILLAGE PHYSICAL THERAPY (NPI 1255119319) is a healthcare organization registered as a physical therapist in Woodstock, Georgia and active in the NPI registry since September 2023. The organization lists Shaun Underwood, Owner, as its authorized official.

NPPES Registry Identity

NPI1255119319
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameVITAL VILLAGE PHYSICAL THERAPY
Location Address116 LOVE LNWoodstock, GA 30188-4281
Mailing Address116 Love LnWoodstock, GA 30188-4281
Organization SubpartNo
Authorized OfficialShaun UnderwoodOwner · (706) 994-2852
Enumeration DateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1255119319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
116 LOVE LN, Woodstock, GA 30188

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vital Village Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vital Village Physical Therapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1356129415
116 LOVE LN
Woodstock, GA 30188
(706) 994-2852
✔ Accepts MedicareSame address

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 Vital Village Physical Therapy's NPI number?

The NPI number for Vital Village Physical Therapy is 1255119319. It was assigned to this organization in the NPPES registry on September 20, 2023.

Where is Vital Village Physical Therapy located?

Vital Village Physical Therapy is located at 116 Love Ln, Woodstock, GA 30188. The listed phone number is (706) 994-2852.

What is Vital Village Physical Therapy's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Vital Village Physical Therapy enrolled in Medicare?

Yes. Vital Village Physical Therapy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vital Village Physical Therapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Vital Village Physical Therapy. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vital Village Physical Therapy was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.