NPIMap

Organization Active NPI

Gyrotonic Vista

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Columbia, SC
National Provider Identifier
1629367693
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X
License
0724727 Issued in SC
Legal business name
GYROTONIC VISTA
Practice address
911 Lady St
Suite H
Columbia, SC 29201-3105
Phone
(803) 758-5962
NPI assigned
Mar 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Mr. Charles C Pulliam
Title
Manager
Phone
(803) 758-5962

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Respiratory/Developmental/Rehabilitative Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 225500000X 0724727 SC Primary
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X 0724727 SC
Dance TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225600000X 0724727 SC
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 0724727 SC

Addresses

Primary practice location

911 Lady St
Suite H
Columbia, SC 29201-3105

Mailing address

911 Lady St
Suite H
Columbia, SC 29201-3105
Phone (803) 758-5962

National Provider Directory

National Provider Directory

Locations

911 Lady St
#H
Columbia, SC 29201
Phone (803) 758-5962

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1629367693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 LADY ST",
            "address_2": "SUITE H",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013105",
            "telephone_number": "803-758-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 LADY ST",
            "address_2": "SUITE H",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013105",
            "telephone_number": "803-758-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYROTONIC VISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "PULLIAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-758-5962",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": "SC",
            "license": "0724727",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "0724727",
            "primary": false
        },
        {
            "code": "225600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dance Therapist",
            "state": "SC",
            "license": "0724727",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "0724727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.