Otto Matic Partners Goose Creek

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

OTTO MATIC PARTNERS GOOSE CREEK

Practice address

214 Saint James Ave Ste 150
Goose Creek, SC 29445-3082

Phone

(843) 991-5165

NPI assigned

May 25, 2024

Last updated

May 25, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

IM PARTNERSAs reported in NPPES

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

Authorized official

Name

Doug Glover

Title

Coo

Phone

(843) 991-5165

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1716595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716595200000",
    "number": "1700626074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SAINT JAMES AVE STE 150",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453082",
            "telephone_number": "843-991-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SAINT JAMES AVE STE 150",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453082",
            "telephone_number": "843-991-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTO MATIC PARTNERS GOOSE CREEK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IM PARTNERS",
        "enumeration_date": "2024-05-25",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "843-991-5165"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health & Wellness Coach in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Health & Wellness Coach in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.