VITALITY PHYSICAL MEDICINE PLLC
NPI 1780376129
Physical Medicine & Rehabilitation in Davenport, IA

Active since May 24, 2023
5335 EASTERN AVE STE C, DAVENPORT, IA 52807(563) 424-6400 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2023, Jul 11, 2023, May 24, 2023 (3 updates tracked since 2023).

About Vitality Physical Medicine Pllc NPPES

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

VITALITY PHYSICAL MEDICINE PLLC (NPI 1780376129) is a healthcare organization registered as a physical medicine & rehabilitation in Davenport, Iowa and active in the NPI registry since May 2023. The organization lists Joseph Earl Brooks, Owner, as its authorized official.

NPPES Registry Identity

NPI1780376129
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameVITALITY PHYSICAL MEDICINE PLLC
Location Address5335 EASTERN AVE STE CDavenport, IA 52807-2788
Mailing Address5335 Eastern Ave Ste CDavenport, IA 52807-2788
Organization SubpartNo
Authorized OfficialJoseph Earl BrooksOwner · (563) 424-6400
Enumeration DateMay 24, 2023
Last NPPES UpdateAugust 22, 20233 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
✔ NPI 1780376129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedClinic/CenterTaxonomy 261Q00000X
5335 EASTERN AVE STE C, Davenport, IA 52807

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 Physical Medicine Pllc 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 Physical Medicine PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Medicine and Rehabilitation
NPI 1396904462
5335 EASTERN AVE STE C
Davenport, IA 52807
(563) 424-6400
✔ PECOS✔ Accepts MedicareSame address

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 Physical Medicine PLLC's NPI number?

The NPI number for Vitality Physical Medicine PLLC is 1780376129. It was assigned to this organization in the NPPES registry on May 24, 2023.

Where is Vitality Physical Medicine PLLC located?

Vitality Physical Medicine PLLC is located at 5335 Eastern Ave Ste C, Davenport, IA 52807. The listed phone number is (563) 424-6400.

What is Vitality Physical Medicine PLLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Vitality Physical Medicine PLLC enrolled in Medicare?

Yes. Vitality Physical Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitality Physical Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Vitality Physical Medicine PLLC. 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 Physical Medicine PLLC was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.