NPIMap

Organization Active NPI

Integrative Medical Health & Wellness

  • Physical Medicine & Rehabilitation Physician
  • Stamford, CT
National Provider Identifier
1003184722
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
INTEGRATIVE MEDICAL HEALTH & WELLNESS
Practice address
1 Atlantic St
2ND FLR
Stamford, CT 06901-2482
Phone
(203) 355-2225
Fax
(203) 355-2235
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Dr. Richard Carl Koffler, M.D.
Title
Principal
Phone
(917) 903-4531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X CT Primary

Addresses

Primary practice location

1 Atlantic St
2ND FLR
Stamford, CT 06901-2482

Mailing address

1 Atlantic St
2ND FLR
Stamford, CT 06901-2482
Phone (203) 355-2225

National Provider Directory

National Provider Directory
Tax ID family
Integrative Medical Health Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1003184722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ATLANTIC ST",
            "address_2": "2ND FLR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012482",
            "telephone_number": "203-355-2225",
            "fax_number": "203-355-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ATLANTIC ST",
            "address_2": "2ND FLR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012482",
            "telephone_number": "203-355-2225",
            "fax_number": "203-355-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "KOFFLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "917-903-4531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.