Healthcare Provider Details

I. General information

NPI: 1982558839
Provider Name (Legal Business Name): VPT PERFORMANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 INDUSTRIAL PARK DR
SODDY DAISY TN
37379-4224
US

IV. Provider business mailing address

106 INDUSTRIAL PARK DR
SODDY DAISY TN
37379-4224
US

V. Phone/Fax

Practice location:
  • Phone: 423-815-2722
  • Fax: 423-815-2722
Mailing address:
  • Phone: 423-815-2722
  • Fax: 423-815-2722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH FANELLI
Title or Position: PRESIDENT
Credential:
Phone: 423-815-2722