Vital Energy Occupational Therapy & Wellness Ctr

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

VITAL ENERGY OCCUPATIONAL THERAPY & WELLNESS CTR

Practice address

4114 Forest Dr
Columbia, SC 29204-4316

Phone

(803) 359-1551

NPI assigned

Feb 11, 2013

Organization subpart

Yes

Parent organization

VITAL ENERGY OCCUPATIONAL THERAPY AND WELLNESS CTRAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Suzy Shay

Title

Office MGR

Phone

(803) 359-1551

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• VITAL ENERGY PHYSICAL THERAPY Doing business as

Tax ID family

Vital Energy Occupational Therapy Wellness Center2 organizations share this tax ID, including this one

Part of

Vital Energy Occupational Therapy Wellness Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vital Energy Occupational Therapy & Wellness Center

  • Physical Therapist
  • Columbia, SC
  • NPI 1134551872
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Vital Energy Occupational Therapy & Wellness Center

  • Physical Therapist
  • Columbia, SC
  • NPI 1134551872
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hima Dalal, OT

  • Occupational Therapist
  • Lexington, SC
  • NPI 1811178429
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1134468127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CLEARVIEW DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044316",
            "telephone_number": "803-359-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL ENERGY OCCUPATIONAL THERAPY & WELLNESS CTR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VITAL ENERGY OCCUPATIONAL THERAPY AND WELLNESS CTR",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "SHAY",
        "authorized_official_first_name": "SUZY",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "803-359-1551"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "9433",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITAL ENERGY PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Occupational Therapist in Columbia, SC
• Providers in Columbia, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.