KTP Wellness Solution LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

KTP WELLNESS SOLUTION LLC

Doing business as

BIO-WORX WELLNESS THERAPY
BIO-WORX WELNESS THERAPY LLC
KTP WELLNESS SOLUTION

Practice address

201 Columbia Mall Blvd Ste 189
Columbia, SC 29223-7550

Phone

(803) 404-7418

Fax

(888) 958-0279

NPI assigned

Dec 13, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Thelisa Y Sulton, NPNPI 1851888978

Title

Owner

Phone

(803) 404-7418

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 3

• BIO-WORX WELLNESS THERAPY Doing business as
• BIO-WORX WELNESS THERAPY LLC Doing business as
• KTP WELLNESS SOLUTION Doing business as

Practitioners 1

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

• Thelisa Y Sulton

  • Technician/Technologist
  • Columbia, SC
  • NPI 1851888978
  NPD Authorized official

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1346888948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 COLUMBIA MALL BLVD STE 189",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237550",
            "telephone_number": "803-404-7418",
            "fax_number": "888-958-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 COLUMBIA MALL BLVD STE 189",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237550",
            "telephone_number": "803-404-7418",
            "fax_number": "888-958-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTP WELLNESS SOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "SULTON",
        "authorized_official_first_name": "THELISA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-404-7418",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTI- SPECIALITY CLINIC",
            "identifier": "12345678",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIO-WORX WELLNESS THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BIO-WORX WELLNESS THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BIO-WORX WELNESS THERAPY LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KTP WELLNESS SOLUTION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kailey Kruis, MA, LPCA
• Matthew Krumholz
• Joseph John Krupa III, DDS
• Aylin D Kruse
• Kimberly Kruse
• Janet L Kubas, NP
• Karen Kubinec, N.P.
• Navya Kuchipudi, M.D.
• Jessica Lauren Kuchta, PT
• Kudos Therapy & Wellness Company

• Multi-Specialty Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Multi-Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.