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

Phoenix Vitality, LLC

Organization General Practice Physician · NPI 1104776939

Phoenix Vitality, LLC is a General Practice Physician in Leipsic, Ohio. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

603 E Main St
Leipsic, OH 45856-1438
Phone: (419) 957-9737
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1104776939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Rodriguez — Nurse Practitioner · (419) 957-0631
NPI enumeratedJanuary 31, 2026
Last updated in NPPESJanuary 31, 2026
Certification dateJanuary 31, 2026
Mailing address603 E Main St, Leipsic, OH 45856-1438