Aging Vitality LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

AGING VITALITY LLC

Practice address

472 Meeting St Ste C-140
Charleston, SC 29403-4899

Phone

(720) 305-8214

NPI assigned

Oct 10, 2023

Last updated

Aug 26, 2024By 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

Melissa Westergard, PTANPI 1144561515

Title

Physical Therapist Assistant

Phone

(720) 305-8214

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Melissa Westergard

  • Physical Therapy Assistant
  • Charleston, SC
  • NPI 1144561515
  Authorized official Same address or phone

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1639950249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 MEETING ST STE C-140",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294034899",
            "telephone_number": "720-305-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 MEETING ST STE C-140",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294034899",
            "telephone_number": "720-305-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING VITALITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "WESTERGARD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "720-305-8214",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa@aging-vitality.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "472 Meeting St Ste C-140",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294034899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Agilitas USA Inc (Results Physiotherapy)
• Agilitas USA, Inc (Results Physiotherapy)
• Agilitas USA, Inc (Results Physiotherapy)
• Aging Resources
• Aging Resources LLC
• Morgan Brown Agnew, RN, BSN
• Amit Agrawal, MD
• Larisa S Agrest, LMT
• Jazmyn Nemid Agudelo Mustafa, MSN, APRN, PMHNP-BC
• Eric G Aguero, MD

• Physical Therapy Clinic/Center in Charleston, SC
• Providers in Charleston, SC by specialty
• Physical Therapy Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.