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VITAM PLLC
NPI 1619316460
Physical Therapist - Orthopedic in Boise, ID

Active since June 14, 2013
3858 N GARDEN CENTER WAY, SUITE 102, BOISE, ID 83703(208) 830-1668 Get Directions Write a Review

NPPES record last updated: June 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vitam Pllc NPPES

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

VITAM PLLC (NPI 1619316460) is a healthcare organization registered as an orthopedic in Boise, Idaho and active in the NPI registry since June 2013. The organization lists Kathy Marie Berg, Owner, as its authorized official.

NPPES Registry Identity

NPI1619316460
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameVITAM PLLC
Location Address3858 N GARDEN CENTER WAY, SUITE 102Boise, ID 83703-5008
Mailing Address3858 N Garden Center Way, Suite 102Boise, ID 83703-5008 · (208) 830-1668
Phone(208) 830-1668
Organization SubpartNo
Authorized OfficialKathy Marie BergOwner · (208) 830-1668
Enumeration DateJune 14, 2013
Last NPPES UpdateJune 4, 2014
✔ NPI 1619316460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in ID · PT-2717
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
3858 N GARDEN CENTER WAY, Boise, ID 83703
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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

Other Providers at the Same Location NPPES 6

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

DAWN PATRICIA TAMAGNI N.P.
Nurse Practitioner
3858 N GARDEN CENTER WAY
BOISE, ID 83703
Ada County (208) 385-7711
DR. STEVEN MAIER D.C.
Chiropractor
3858 N GARDEN CENTER WAY, SUITE 101
BOISE, ID 83703
Ada County (208) 336-0017
DR. GAIL M EBERHARTER RANKIN MD
Family Medicine
3858 N GARDEN CENTER WAY, SUITE 100
BOISE, ID 83703
Ada County (208) 385-7711
KATHLEEN MARIE BERG DPT, MS, CSCS, FAFS
Physical Therapist
3858 N GARDEN CENTER WAY, SUITE 102
BOISE, ID 83703
Ada County (208) 830-1668
KAREN M CALLAGY PA-C
Physician Assistant (Medical)
3858 N GARDEN CENTER WAY, SUITE 100
BOISE, ID 83703
Ada County (208) 385-7711
FUNCTIONAL AND INTEGRATIVE MEDICINE OF IDAHO PA
Family Medicine
3858 N GARDEN CENTER WAY, SUITE 100
BOISE, ID 83703
Ada County (208) 385-7711

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 Vitam PLLC's NPI number?

The NPI number for Vitam PLLC is 1619316460. It was assigned to this organization in the NPPES registry on June 14, 2013.

Where is Vitam PLLC located?

Vitam PLLC is located at 3858 N Garden Center Way Suite 102, Boise, ID 83703. The listed phone number is (208) 830-1668.

What is Vitam PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Vitam PLLC was last updated on June 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.