FUNCTIONAL VITALITY
NPI 1497484778
Occupational Therapist in Conyers, GA
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
Specialties & Licenses 2
Secondary Practice Location 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)
Functional Vitality 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 Functional Vitality, 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 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.
Is Functional Vitality enrolled in Medicare?
Yes. Functional Vitality is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Functional Vitality?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Occupational Therapist in Private Practice) reassigns their Medicare billing to Functional Vitality. 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 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.