NPIMap

Organization Active NPI

Vital Energy Occupational Therapy & Wellness Center

Doing business as Vital Energy Therapy

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1134551872
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6656 Issued in SC
Legal business name
VITAL ENERGY OCCUPATIONAL THERAPY & WELLNESS CENTER
Doing business as
Vital Energy Therapy
Practice address
450 Killian Rd
Columbia, SC 29203-9751
Phone
(803) 359-1551
Fax
(803) 359-0362
NPI assigned
Aug 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Mrs. Hima N Dalal, OTR/LNPI 1811178429
Title
Owner
Phone
(803) 359-1551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 6656 SC Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X 2626 SC

Addresses

Primary practice location

450 Killian Rd
Columbia, SC 29203-9751

Mailing address

163 Charter Oak Rd
Lexington, SC 29072-9246
Phone (803) 359-1551

Other names 1

  • Vital Energy Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vital Energy Occupational Therapy Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1134551872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 CHARTER OAK RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729246",
            "telephone_number": "803-359-1551",
            "fax_number": "803-359-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 KILLIAN RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039751",
            "telephone_number": "803-359-1551",
            "fax_number": "803-359-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL ENERGY OCCUPATIONAL THERAPY & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "DALAL",
        "authorized_official_first_name": "HIMA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-359-1551",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6656",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "2626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Energy Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.