Two Rivers Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TWO RIVERS MEDICAL LLC

Doing business as

Two Rivers Medical LLC

Practice address

518 US Highway 76
Chapin, SC 29036-9076

Phone

(864) 300-3856

Fax

(864) 916-1590

NPI assigned

Nov 24, 2023

Organization subpart

No

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

Authorized official

Name

Mandy Wicker

Title

Director

Phone

(864) 300-3856

Specialties & licenses 2

Addresses

Other names 1

• TWO RIVERS MEDICAL LLC Doing business as

Locations

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1366217952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 WOFFORD RD",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293405749",
            "telephone_number": "864-300-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 US HIGHWAY 76",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290369076",
            "telephone_number": "864-300-3856",
            "fax_number": "864-916-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-24",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "WICKER",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "864-300-3856"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TWO RIVERS MEDICAL LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Tomblin, PHARM.D
• Kimberly Trammell, AGNP-BC
• Jennifer Trumbull
• Evelyn R Tucker, MD
• Sydney Nichole Turner, ATC
• Matthew Grayson Tyler, PT, DPT
• Katie Vaadi, R.D.N., L.D.
• Paola Valverde, MA.LPC, LAC
• Juan Manuel Venegas, MD
• Vital Eyes LLC

• Durable Medical Equipment & Medical Supplies in Chapin, SC
• Providers in Chapin, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.