Healthcare Provider Details

I. General information

NPI: 1407733231
Provider Name (Legal Business Name): VITAL MOTION PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1059 RIDGE RD
WEBSTER NY
14580-2952
US

IV. Provider business mailing address

1059 RIDGE RD
WEBSTER NY
14580-2952
US

V. Phone/Fax

Practice location:
  • Phone: 585-645-5267
  • Fax:
Mailing address:
  • Phone: 585-645-5267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JENA LYNN SAPERE
Title or Position: OWNER
Credential: DPT
Phone: 585-645-5267