Provider Demographics
NPI:1538033881
Name:VITAL CORE PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:VITAL CORE PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:TODD
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:757-647-0490
Mailing Address - Street 1:3300 PRINCESS ANNE RD STE 735
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-2604
Mailing Address - Country:US
Mailing Address - Phone:757-231-5370
Mailing Address - Fax:
Practice Address - Street 1:3300 PRINCESS ANNE RD STE 735
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-2604
Practice Address - Country:US
Practice Address - Phone:757-231-5370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty