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

Functional Vitality

Organization Occupational Therapist · NPI 1497484778

Functional Vitality is an Occupational Therapist in Conyers, Georgia. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

2375 Wall St SE Ste 240
Conyers, GA 30013-6702
Phone: (678) 278-8348
Fax: (470) 276-3158
Show map & directions

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

Additional practice locations (1)

  • 1311 Milstead Ave Ne, Conyers, GA 30012-3829 — (470) 266-0623

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Rehabilitation Clinic/Center Taxonomy 261QR0400X

Record details

NPI number1497484778
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latess Echavarria — Owner · (470) 266-0623
NPI enumeratedJune 10, 2022
Last updated in NPPESJune 16, 2022
Certification dateJune 16, 2022
Mailing address680 Grandview Rd, Mansfield, GA 30055-2571

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