Organization Active NPI

Soulshine Pelvic Health and Wellness, LLC

  • Physical Therapy Clinic/Center
  • Columbia, SC
National Provider Identifier
1679124358
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SOULSHINE PELVIC HEALTH AND WELLNESS, LLC
Practice address
3000 Rosewood Dr Ste 5
Columbia, SC 29205-3433
Phone
(803) 784-2464
NPI assigned
Sep 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Dr. Meghan Frances Davidson, PT, DPTNPI 1346714300
Title
Owner
Phone
(803) 784-2464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3000 Rosewood Dr Ste 5
Columbia, SC 29205-3433

Mailing address

3213 Cannon St
Columbia, SC 29205-3438
Phone (301) 467-7757

Other practice location 1

2716 Wheat St
Columbia, SC 29205-2539
Phone (301) 467-7757

National Provider Directory

National Provider Directory

Locations

3000 Rosewood Dr
Ste 5
Columbia, SC 29205
Phone (803) 784-2464

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": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1679124358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 CANNON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292053438",
            "telephone_number": "301-467-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ROSEWOOD DR STE 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292053433",
            "telephone_number": "803-784-2464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2716 Wheat St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292052539",
            "country_code": "US",
            "telephone_number": "301-467-7757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOULSHINE PELVIC HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-784-2464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 3, 2020; 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.