Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Functional Vitality

Organization Physical Therapist · NPI 1336879741

Functional Vitality is a Physical Therapist in Mansfield, Georgia. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3

Practice location Address checks out

680 Grandview Rd
Mansfield, GA 30055-2571
Phone: (678) 278-8348
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Physical Therapist Taxonomy 225100000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1336879741
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFunctional Vitality
Authorized official Latess Echavarria — Owner · (470) 266-0623
Other names Functional Vitality Home Health Services
NPI enumeratedJune 16, 2022
Last updated in NPPESJune 16, 2022
Certification dateJune 16, 2022
Mailing address680 Grandview Rd, Mansfield, GA 30055-2571