OrganizationActive
Vitality at Home
NPI 1235777442 · Geriatric Physical Therapist · Grand Rapids, MI
Provider details
- NPI number
- 1235777442
- Entity type
- Organization
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jennafer Smith, Physical Therapist(612) 839-9040
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
247 Luce St Sw
Grand Rapids, MI 49534-9607
Phone: (612) 839-9040
Street-level locationGet directions
Mailing address
247 Luce St Sw
Grand Rapids, MI 49534-9607
Registry dates
- Enumerated
- 2019-12-18
- Last updated
- 2019-12-27
- Certified
- 2019-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.