Vital Village Physical Therapy
NPI 1255119319 · Physical Therapist · Woodstock, GA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vital Village Physical Therapy is a Physical Therapist organization in Woodstock, GA (NPI 1255119319).
Provider details
- NPI number
- 1255119319
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Shaun Underwood, Owner(706) 994-2852
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2023-09-20
- Last updated
- 2023-09-20
- Certified
- 2023-09-20
Frequently asked questions
- What is Vital Village Physical Therapy's NPI number?
- Vital Village Physical Therapy's National Provider Identifier (NPI) is 1255119319, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vital Village Physical Therapy?
- Vital Village Physical Therapy is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Vital Village Physical Therapy located?
- Vital Village Physical Therapy's practice location on file with NPPES is 116 Love Ln, Woodstock, GA 30188-4281.
- What is Vital Village Physical Therapy's phone number?
- The practice phone number listed in the NPPES registry for Vital Village Physical Therapy is (706) 994-2852.
- Does Vital Village Physical Therapy accept Medicare?
- Vital Village Physical Therapy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vital Village Physical Therapy?
- The authorized official listed on Vital Village Physical Therapy's NPPES record is Shaun Underwood, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vital Village Physical Therapy's NPI active?
- Yes — Vital Village Physical Therapy's NPI (1255119319) is active in the NPPES registry as of the last update on 2023-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.