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General NPI Number Information
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NPI Number | 1033058920
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Entity Type | Organization
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Legal Business Name | VITALITY PHYSICAL THERAPY LANCASTER, LLC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 160 N POINTE BLVD STE 108
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City | LANCASTER
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State | PA
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Zip | 17601-4134
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Country | US
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Telephone | 717-415-7199
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 MARIETTA AVE
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City | LANCASTER
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State | PA
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Zip | 17603-2208
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Country | US
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Telephone | 717-415-7199
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Fax |
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | DR. NICOLAS JOSEPH SHUSCAVAGE
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Credential | PT, DPT
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Telephone | 717-415-7199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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