Vital Energy Rehab NC LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VITAL ENERGY REHAB NC LLC

Practice address

9007 Magna LN
Indian Trail, NC 28079-5216

Phone

(704) 698-2104

NPI assigned

May 6, 2011

Last updated

May 6, 2011By 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

Hima N Dalal, OTNPI 1811178429

Title

Owener

Phone

(803) 359-1551

Specialties & licenses 2

Addresses

Practitioners 2

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.

• Hima Dalal, OT

  • Occupational Therapist
  • Lexington, SC
  • NPI 1811178429
  Authorized official Same address or phone
• Nimisha Darshan Shah, PHYSICAL THERAPIST

  • Physical Therapist
  • Indian Trail, NC
  • NPI 1952605768
  NPD (past)

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1679865851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CLEARVIEW DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9007 MAGNA LN",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795216",
            "telephone_number": "704-698-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL ENERGY REHAB NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "DALAL",
        "authorized_official_first_name": "HIMA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "803-359-1551",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Universal DME Incorporated
• Sarah Usry
• Hannah Valdes, DPT
• Kelly Mae Van Vleet, M.A., LCMHC, LCAS
• Abigail Villanueva, OTR L
• Vitality Counseling & Therapy 4 Life, PLLC
• Christina Lynn Vorobej, MD
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3700)
• Wal-Mart Stores East, LP (Vision Center)
• Walgreen Co (Walgreens #07401)

• Physical Therapy Clinic/Center in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.