Vida Bella Services, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3232 Issued in SC

Legal business name

VIDA BELLA SERVICES, LLC

Practice address

1303 Windover Run
Hanahan, SC 29410-8219

Phone

(843) 814-7917

NPI assigned

Apr 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Cristina Reyes Smith, OTD, OTR/L

Title

Owner/Operator

Phone

(843) 814-7917

Specialties & licenses 1

Addresses

Practitioners 1

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

• Alexandra Wease, OTR/L

  • Occupational Therapist
  • Hanahan, SC
  • NPI 1114567021
  NPD (past)

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1437415791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 WINDOVER RUN",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294108219",
            "telephone_number": "843-814-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 WINDOVER RUN",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294108219",
            "telephone_number": "843-814-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA BELLA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "REYES",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "843-814-7917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ayfer Ozturk Torkian, DMD
• Tricounty Virtual Therapy
• Nancey Trevanian Tsai, MD
• Halie Tumbleston
• Lindsay Moore Versprille, M.A., CCC-SLP
• Virtus Health - Performance
• Charles James Washington
• Lauren Ashley Washington, LMSW
• Alexandra Wease, OTR/L
• Alvin Weatherford, DDS

• Occupational Therapist in Hanahan, SC
• Providers in Hanahan, 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 Apr 11, 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.