Functional Vitality
NPI 1497484778 · Occupational Therapist · Conyers, GA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Functional Vitality is a Occupational Therapist organization in Conyers, GA (NPI 1497484778).
Provider details
- NPI number
- 1497484778
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Latess Echavarria, Owner(470) 266-0623
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Rehabilitation Clinic/Center261QR0400X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1311 Milstead Ave NeConyers, GA 30012-3829Phone: (470) 266-0623
Registry dates
- Enumerated
- 2022-06-10
- Last updated
- 2022-06-16
- Certified
- 2022-06-16
Frequently asked questions
- What is Functional Vitality's NPI number?
- Functional Vitality's National Provider Identifier (NPI) is 1497484778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Functional Vitality?
- Functional Vitality is classified in the NPPES registry as Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Functional Vitality located?
- Functional Vitality's practice location on file with NPPES is 2375 Wall St Se Ste 240, Conyers, GA 30013-6702.
- What is Functional Vitality's phone number?
- The practice phone number listed in the NPPES registry for Functional Vitality is (678) 278-8348.
- Does Functional Vitality accept Medicare?
- Functional Vitality 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 Functional Vitality?
- The authorized official listed on Functional Vitality's NPPES record is Latess Echavarria, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Functional Vitality's NPI active?
- Yes — Functional Vitality's NPI (1497484778) is active in the NPPES registry as of the last update on 2022-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.