VITAL SPORTS AND WELLNESS
NPI 1639576093
Physical Therapist - Sports in Orange Park, FL

Active since December 01, 2014
3600 PEORIA RD STE 203, ORANGE PARK, FL 32065(904) 657-0089(904) 560-5283 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Vital Sports And Wellness NPPES

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

VITAL SPORTS AND WELLNESS (NPI 1639576093) is a healthcare organization registered as a sports in Orange Park, Florida and active in the NPI registry since December 2014. The organization maintains a secondary practice location in Green Cove Springs and lists Jennifer Amanda Justice, Owner, Clinician, as its authorized official.

NPPES Registry Identity

NPI1639576093
Entity TypeOrganization
Primary Taxonomy2251S0007X
Legal Business NameVITAL REHABILITATION LLC.
Location Address3600 PEORIA RD STE 203Orange Park, FL 32065-7686
Mailing Address2216 Green Heron CtFleming Island, FL 32003-8600 · (904) 434-5737
Fax(904) 560-5283
Organization SubpartNo
Authorized OfficialJennifer Amanda JusticeOwner, Clinician · (904) 657-0089
Enumeration DateDecember 1, 2014
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
NPI 1639576093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X
Also ListedMassage TherapistTaxonomy 225700000X
3600 PEORIA RD STE 203, Orange Park, FL 32065

Other Names 1

Other NameVital Sports And Wellness

Secondary Practice Location 1

Location 11525 Virgils Way Unit 1Green Cove Springs, FL 32043-3780 · Phone (904) 657-0089 · Fax (904) 560-5283

Other Identifiers 1

OtherMA38374FL · Massage Therapy

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Physical Therapist
3600 PEORIA RD STE 203
ORANGE PARK, FL 32065

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 Rehabilitation LLC.'s NPI number?

The NPI number for Vital Rehabilitation LLC. is 1639576093. It was assigned to this organization in the NPPES registry on December 1, 2014. The provider is also known as Vital Sports And Wellness.

Where is Vital Rehabilitation LLC. located?

Vital Rehabilitation LLC. is located at 3600 Peoria Rd Ste 203, Orange Park, FL 32065. The listed phone number is (904) 657-0089.

What is Vital Rehabilitation LLC.'s specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

What insurance does Vital Rehabilitation LLC. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Vital Rehabilitation LLC. 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 Vital Rehabilitation LLC. was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.