NPI age
5 years
Enumerated 2020-06-21
● Active Type 2 · Organization
Vital Life Physical Therapy
Vital Life Physical Therapy is 1 of 1225 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rudolph
Owner
Last NPPES update
2020-06-21
Source: monthly bulk 2026-05
How this organization compares
Across 1225 active clinic/center providers in Texas.
NPI age
5 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-06Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
2628 Bill Owens Pkwy
Longview, TX 756043001
Mailing address
331 Deerfield Lake Cir
Longview, TX 756057756
Authorized official
Sarah Yvonne Rudolph, P.T.
Owner
📞 9032411274
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Sarah Rudolph Physical Therapist NPI 1255706594
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.