VITALITY SPINE AND SPORT
NPI 1265251532
Chiropractor in Saint Louis, MO
About Vitality Spine And Sport NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITALITY SPINE AND SPORT (NPI 1265251532) is a healthcare organization registered as a chiropractor in Saint Louis, Missouri and active in the NPI registry since October 2024. The organization lists Noah Whitten, Owner/ Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 Spine And Sport 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 Vitality Spine And Sport, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Spine And Sport's NPI number?
The NPI number for Vitality Spine And Sport is 1265251532. It was assigned to this organization in the NPPES registry on October 4, 2024.
Where is Vitality Spine And Sport located?
Vitality Spine And Sport is located at 12370 Olive Blvd, Saint Louis, MO 63141. The listed phone number is (641) 919-5240.
What is Vitality Spine And Sport's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Vitality Spine And Sport enrolled in Medicare?
Yes. Vitality Spine And Sport is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vitality Spine And Sport?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Vitality Spine And Sport. 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 Vitality Spine And Sport was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Vitality Spine And Sport · NPI 1265251532
Chiropractor organization in Saint Louis, Missouri. Organization record, active in the CMS NPPES registry since October 4, 2024.
## Identity
- **NPI:** 1265251532 (Entity type: Organization)
- **Enumerated:** October 4, 2024
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Noah Whitten, OWNER/ DIRECTOR
## Practice location
- **Address:** 12370 OLIVE BLVD, Saint Louis, MO 63141-6443
- **Phone:** (641) 919-5240
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265251532) · Data from the CMS NPPES public registry.