MEDICARE: VIBRANT LIVING SKILLS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QP2000X	Physical Therapy Clinic/Center
2	224Z00000X	Occupational Therapy Assistant
3	224ZE0001X	Environmental Modification Occupational Therapy Assistant
4	225XN1300X	Neurorehabilitation Occupational Therapist
5	225XP0019X	Physical Rehabilitation Occupational Therapist
6	225XE0001X	Environmental Modification Occupational Therapist
7	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1245802248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIBRANT LIVING SKILLS, LLC

Provider Business Mailing Address
First Line	:	12850 HIGHWAY 9 N STE 600-315
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30004-4231
Country	:	US
Telephone Number	:	706-506-2443
Fax Number	:	404-907-1248

Provider Business Practice Location Address
First Line	:	12850 HIGHWAY 9 N STE 600-315
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30004-4231
Country	:	US
Telephone Number	:	706-506-2443
Fax Number	:	404-907-1248

Authorized Official
Title or Position	:	OWNER/OCCUPATIONAL THERAPIST
Name	:	NATALIE STONE KING
Credential	:	OTR/L
Telephone Number	:	706-506-2443

Provider Enumeration Date	:	07/11/2021
Last Update Date	:	02/02/2026

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Directions to “VIBRANT LIVING SKILLS, LLC ” Practice Location

Language	Start Address	Practice Location

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