FUNCTIONAL VITALITY
NPI 1497484778
Occupational Therapist in Conyers, GA

Active since June 10, 2022
2375 WALL ST SE STE 240, CONYERS, GA 30013(678) 278-8348(470) 276-3158 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Functional Vitality NPPES

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

FUNCTIONAL VITALITY (NPI 1497484778) is a healthcare organization registered as an occupational therapist in Conyers, Georgia and active in the NPI registry since June 2022. The organization maintains a secondary practice location in Conyers and lists Latess Echavarria, Owner, as its authorized official.

NPPES Registry Identity

NPI1497484778
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NameFUNCTIONAL VITALITY
Location Address2375 WALL ST SE STE 240Conyers, GA 30013-6702
Mailing Address680 Grandview RdMansfield, GA 30055-2571 · (470) 266-0623 · Fax (470) 276-3158
Fax(470) 276-3158
Organization SubpartNo
Authorized OfficialLatess EchavarriaOwner · (470) 266-0623
Enumeration DateJune 10, 2022
Last NPPES UpdateJune 16, 2022
NPPES CertifiedJune 16, 2022
NPI 1497484778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
2375 WALL ST SE STE 240, Conyers, GA 30013

Secondary Practice Location 1

Location 11311 Milstead Ave NEConyers, GA 30012-3829 · Phone (470) 266-0623

Accepted Insurance

Other Providers at the Same Location NPPES 10

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

Home Health
2375 WALL ST SE STE 240
CONYERS, GA 30013
Durable Medical Equipment & Medical Supplies
2375 WALL ST SE STE 240
CONYERS, GA 30013
Counselor
2375 WALL ST SE STE 240
CONYERS, GA 30013
Nurse Practitioner (Psychiatric/Mental Health)
2375 WALL ST SE STE 240
CONYERS, GA 30013
Counselor (Professional)
2375 WALL ST SE STE 240
CONYERS, GA 30013
Counselor (Mental Health)
2375 WALL ST SE STE 240
CONYERS, GA 30013
Counselor
2375 WALL ST SE STE 240
CONYERS, GA 30013
Nurse Practitioner (Psychiatric/Mental Health)
2375 WALL ST SE STE 240
CONYERS, GA 30013

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 Functional Vitality's NPI number?

The NPI number for Functional Vitality is 1497484778. It was assigned to this organization in the NPPES registry on June 10, 2022.

Where is Functional Vitality located?

Functional Vitality is located at 2375 Wall St SE Ste 240, Conyers, GA 30013. The listed phone number is (678) 278-8348.

What is Functional Vitality's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

What insurance does Functional Vitality accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Functional Vitality 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 Functional Vitality was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.