VITALIZED PERFORMANCE GROUP NPI 1467180299

NPI Information

  • NPI: 1467180299
  • Provider Name: VITALIZED PERFORMANCE GROUP
  • Classification: Acupuncturist - 171100000X
  • Entity Type: Organization
  • Address: 212 NEW LONDON TPKE STE D
    GLASTONBURY, CT
    ZIP 06033
  • Phone: (860) 430-2342

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NPI Details

VITALIZED PERFORMANCE GROUP is an acupuncturist in Glastonbury, CT. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. VITALIZED PERFORMANCE GROUP NPI is 1467180299. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

212 NEW LONDON TPKE STE D
GLASTONBURY, CT
ZIP 06033-202
Phone: (860) 430-2342
Fax: (860) 430-2342

The provider's authorized official is Gorica Mladen-adduci .
The authorized official title is Owner and has the following contact phone number (917) 560-0249.

The enumeration date for this NPI number is 8/10/2022 and was last updated on 8/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171100000XAcupuncturistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11427201540MEDICAIDCONNECTICUT
21609232081MEDICAIDCONNECTICUT
31992858583MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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