Yoga Therapy Bar LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

YOGA THERAPY BAR LLC

Doing business as

Yoga Therapy Bar

Practice address

111 Earle St Ste D
Clemson, SC 29631-1545

Phone

(864) 722-9035

NPI assigned

Aug 19, 2021

Last updated

Aug 19, 2021By 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

Dr. Nekita J Sullivan, DPTNPI 1598701856

Title

Owner

Phone

(864) 906-5045

Specialties & licenses 1

Addresses

Other names 1

• Yoga Therapy Bar Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nekita J Sullivan, PT

  • Physical Therapist
  • Spartanburg, SC
  • NPI 1598701856
  NPD Authorized official

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1487320461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EARLE ST STE D",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311545",
            "telephone_number": "864-722-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EARLE ST STE D",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311545",
            "telephone_number": "864-722-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOGA THERAPY BAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "NEKITA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-906-5045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yoga Therapy Bar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney Williams, NP-C
• Marion A Wills, M.D.
• Savannah Evelyn Winther
• Brooke Charlene Wymer, LMSW
• Kelly A Yannizzi, M.D.
• Buffy Wooten York, NP-C
• William Ronald Young
• Ann Margaret Ludlow Yurco, OT
• Edward L. Zapf Jr., PT
• Heidi Zinzow, PH.D.

• Physical Therapist in Clemson, SC
• Providers in Clemson, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.