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

Vital Performance Physical Therapy LLC

Organization Physical Therapy Clinic/Center · NPI 1629795273

Vital Performance Physical Therapy LLC is a Physical Therapy Clinic/Center in Hainesport, New Jersey. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9 Mary Way
Hainesport, NJ 08036-2729
Phone: (609) 676-5905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1629795273
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Shaddow — Owner · (609) 864-1709
NPI enumeratedOctober 25, 2022
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022
Mailing address130 Rancocas Rd, Mount Holly, NJ 08060-1320

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