VIVATEK DISC REHAB CENTER LLC (NPI# 1568490571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568490571 |
| Entity Type | Organization |
| Organization Name | VIVATEK DISC REHAB CENTER LLC |
| Practice Address |
119 Pinnacle Pl Suite B Little River SC 29566-7218 |
| Practice Telephone | 8432495100 |
| Mailing Telephone | 8432495100 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2015-04-10 |
| Authorized Official Name | DR. MICHAEL RAY COLE (OWNER) |
| Authorized Official Telephone | 8432495100 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1151 | SC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PTAN | T326948512 | 01 |
| SC | CH1151 | 05 |
| Street Address |
119 PINNACLE PL SUITE B |
| City | LITTLE RIVER |
| State | SC |
| Zip Code | 29566-7218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346289592 | Michael Cole | Chiropractor | 119 Pinnacle Pl, Suite B, Little River, SC 29566-7218 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736309 | Holly Leanne Poplin | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite C, Main Street Physicians/sc House Calls Inc, Little River, SC 29566 | 2020-09-30 |
| 1619534112 | Mcleod Loris Seacoast Hospital | Pharmacy | 4000 Hwy 9 East, Outpatient Pharmacy, Little River, SC 29566 | 2019-05-21 |
| 1366960585 | Sasha Hayes | Dentist | 1247 Highway 17 S, Little River, SC 29566 | 2017-09-07 |
| 1639557531 | Mary Lucille Harding | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite, Main Street Physicians, Little River, SC 29566 | 2015-05-12 |
| 1770900771 | Dottie Randall-cox | Registered Nurse | 107 Hwy 57-north, Little River, SC 29566 | 2014-03-27 |
| 1689091688 | Carolyn Howe | Registered Nurse | 107 Highway 57 North, Dhec, Little River, SC 29566 | 2014-03-27 |
| 1376977884 | Southern Surgical Group, LLC | Specialist | 3600 Sea Mountain Hwy Suite A, Little River, SC 29566 | 2013-09-03 |
| 1144570888 | Laura Gore | Pharmacist | 2492 Hwy 9 East, Little River, SC 29566 | 2012-09-10 |
| 1255611406 | Belliams Home Health Services | Home Health | 687c Williamson Rd, Longs, SC 29566 | 2011-08-19 |
| 1083878813 | Lacie E. Edmison | Internal Medicine | 3980 Highway 9 E Ste 320, Little River, SC 29566 | 2008-07-10 |
| Find all providers in zip 29566 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669716007 | Christopher Allen Shumate | Chiropractor | 4207 Sea Mountain Hwy, Suite-b, Little River, SC 29566-6843 | 2012-11-26 |
| 1447318241 | John R Duval | Chiropractor | 4085 Mineola Ave, Little River, SC 29566 | 2006-12-05 |
| 1588699425 | Willey Chiropractic, LLC | Chiropractor | 3203 Highway 9 E Unit B, Little River, SC 29566-8143 | 2006-07-11 |
| 1841258910 | Robin Meredith Willey | Chiropractor | 3203 Highway 9 E, Suite B, Little River, SC 29566-7825 | 2006-05-01 |
| 1447212584 | Robin Sue Labod | Chiropractor | 1539 Highway 17, Little River, SC 29566-9224 | 2006-04-04 |
| 1265962815 | William Renfrow | Chiropractor | 3203 Highway 9 E Unit B, Little River, SC 29566-8143 | 2017-06-15 |
| 1548641079 | Coastal Chiropractic Care LLC | Chiropractor | 1539 Highway 17, Little River, SC 29566-9224 | 2015-06-10 |
| 1649474172 | Robin S. Labod, Dc, Pa | Chiropractor | 1539 Highway 17, Little River, SC 29566-9224 | 2007-06-11 |
| 1346289592 | Michael Cole | Chiropractor | 119 Pinnacle Pl, Suite B, Little River, SC 29566-7218 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314718 | Evan Patrick Mcmillion | Chiropractor | 149 E Bay St Ste 100, Charleston, SC 29401-2163 | 2020-10-23 |
| 1851908511 | Rachael Pratt | Chiropractor | 1463 E Main St Ste A, Spartanburg, SC 29307-2246 | 2020-09-28 |
| 1417563172 | Kevin Cook | Chiropractor | 135 Duraleigh Rd, Anderson, SC 29621-3780 | 2020-09-18 |
| 1720603699 | Ronald Lee Armold | Chiropractor | 1524 John B. White Senior Suite 2, Spartanburg, SC 29301-2930 | 2020-06-16 |
| 1932722808 | Cota Care Chiropractic and Wellness, LLC | Chiropractor | 1060 Boiling Springs Rd Ste 2, Spartanburg, SC 29303-2236 | 2020-05-26 |
| 1588287601 | William Craig Hewitt | Chiropractor | 14 Airport Rd, Greenville, SC 29607-2528 | 2020-05-22 |
| 1740802602 | Valerie Dowis | Chiropractor | 1211 Newcastle St Ste C, Beaufort, SC 29902-4186 | 2020-05-14 |
| 1023637659 | Jordan Thomas Reizer I | Chiropractor | 11 E Calhoun St, Sumter, SC 29150-4315 | 2020-04-14 |
| 1770102980 | Christopher B Gardner | Chiropractor | 205 N Irby St Ste B, Florence, SC 29501-2805 | 2020-04-09 |
| 1841824851 | Whiplash Pain Center | Chiropractor | 907 Miles Jamison Rd Ste 4, Summerville, SC 29485-8705 | 2020-02-28 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE RIVER |
| Zip Code | 29566 |
Please comment or provide details below to improve the information on VIVATEK DISC REHAB CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.