Provider Demographics
NPI:1407733231
Name:VITAL MOTION PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:VITAL MOTION PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SAPERE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:585-645-5267
Mailing Address - Street 1:1059 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-2952
Mailing Address - Country:US
Mailing Address - Phone:585-645-5267
Mailing Address - Fax:
Practice Address - Street 1:1059 RIDGE RD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-2952
Practice Address - Country:US
Practice Address - Phone:585-645-5267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy