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

Last updated

Apr 20, 2008By 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

Mrs. Hima N Dalal, OCCUPATIONAL THERAPINPI 1811178429

Title

Owner

Phone

(803) 951-3200

Specialties & licenses 1

Addresses

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.

• Hima Dalal, OT

  • Occupational Therapist
  • Lexington, SC
  • NPI 1811178429
  Authorized official Same address or phone

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": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Charles Vilord
• Roberta P Vining, RPH
• Viphealth LLC
• Vital Chiropractic LLC
• Vital Energy
• Vital Nutrition & Chiropractic LLC
• Sierrah Mone Voll
• Allyson Taylor Von Kannel, CPNP-PC
• Jenny Vonkeller
• Gina Decker Votion, LISWCP

• 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.