Vital Energy Occ Therapy & Wellness Ctr LLC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

2626 Issued in SC

Legal business name

VITAL ENERGY OCC THERAPY & WELLNESS CTR LLC

Practice address

1812 Augusta Hwy
Ste L
Lexington, SC 29072

Phone

(803) 359-1551

Fax

(803) 233-9201

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Hima N Dalal, OCCUPATIONAL THERAPI

Title

Owner

Phone

(803) 951-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1700839610",
    "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": "29212",
            "telephone_number": "803-951-3200",
            "fax_number": "803-951-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 AUGUSTA HWY",
            "address_2": "STE L",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "29072",
            "telephone_number": "803-359-1551",
            "fax_number": "803-233-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL ENERGY OCC THERAPY & WELLNESS CTR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DALAL",
        "authorized_official_first_name": "HIMA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-951-3200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OCCUPATIONAL THERAPI"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "SC",
            "license": "2626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAZH",
            "identifier": "11485055",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta P Vining, RPH
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• Virtual Neurology, LLC
• Vital Chiropractic LLC
• Vital Energy
• Vital Nutrition & Chiropractic LLC
• Allyson Taylor Von Kannel, CPNP-PC
• Jenny Vonkeller
• Gina Decker Votion, LISWCP
• Timothy D Votion, D.C.

• Occupational Medicine Clinic/Center in Lexington, SC
• Providers in Lexington, SC by specialty
• Occupational Medicine Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.