Vitality Medical Centers of Fort Mill Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

VITALITY MEDICAL CENTERS OF FORT MILL INC

Doing business as

VMC of Fort Mill

Practice address

1670 Highway 160 W Ste 201
Fort Mill, SC 29708-8064

Phone

(803) 560-6991

NPI assigned

Feb 14, 2017

Last updated

Oct 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elisa Dennae Handford

Title

Owner

Phone

(803) 218-9886

Specialties & licenses 2

Addresses

Other names 1

• VMC of Fort Mill Doing business as

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1467991109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1320",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290711320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 HIGHWAY 160 W STE 201",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088064",
            "telephone_number": "803-560-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MEDICAL CENTERS OF FORT MILL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "HANDFORD",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "DENNAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-218-9886"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VMC of Fort Mill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Medicine & Rehabilitation Physician in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Physical Medicine & Rehabilitation Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.