Angel Dolfyn Connection LLC

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

Legal business name

ANGEL DOLFYN CONNECTION LLC

Practice address

701 W Poinsett St
Greer, SC 29650-1451

Phone

(864) 848-1232

Fax

(864) 989-0106

NPI assigned

Jun 22, 2018

Last updated

Jun 22, 2018By 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

Adamy D Diaz-Carpenter, LMTNPI 1205906252

Title

Co-Owner

Phone

(864) 989-0028

Specialties & licenses 1

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.

• Adamy D Diaz-Carpenter, LMT, NCBTMBP

  • Massage Therapist
  • Greer, SC
  • NPI 1205906252
  NPD Authorized official
• Donald H Carpenter, LMT, NCTMBP

  • Contractor
  • Greer, SC
  • NPI 1770653529

  Neuromuscular Medicine

  NPD (past)

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1770078727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W POINSETT ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501451",
            "telephone_number": "864-848-1232",
            "fax_number": "864-989-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W POINSETT ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501451",
            "telephone_number": "864-848-1232",
            "fax_number": "864-989-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL DOLFYN CONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ-CARPENTER",
        "authorized_official_first_name": "ADAMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "864-989-0028",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Greer, SC
• Providers in Greer, SC by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.