NPIMap

Organization Active NPI

Low Country Massage & Wellness, LLC

  • Health Maintenance Organization
  • Georgetown, SC
National Provider Identifier
1316204522
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
6530 Issued in SC
Legal business name
LOW COUNTRY MASSAGE & WELLNESS, LLC
Practice address
1036 Mount Zion Ave
Georgetown, SC 29440-4823
Phone
(843) 543-1113
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Ms. Blakely R Altman, L.M.T
Title
Owner/Massage Therapist
Phone
(843) 543-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 6530 SC Primary

Addresses

Primary practice location

1036 Mount Zion Ave
Georgetown, SC 29440-4823

Mailing address

1036 Mount Zion Ave
Georgetown, SC 29440-4823
Phone (843) 543-1113

Other names 1

  • Lowcountry Day Spa Other name

National Provider Directory

National Provider Directory
Tax ID family
Low Country Massage Wellness LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1316204522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 MOUNT ZION AVE",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294404823",
            "telephone_number": "843-543-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 MOUNT ZION AVE",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294404823",
            "telephone_number": "843-543-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW COUNTRY MASSAGE & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "BLAKELY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "843-543-1113",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.M.T"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "SC",
            "license": "6530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lowcountry Day Spa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Georgetown, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.