Organization Active NPI

Integrated Therapy of Grand Island LLC

  • Physical Therapist
  • Grand Island, NE
National Provider Identifier
1003689951
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
INTEGRATED THERAPY OF GRAND ISLAND LLC
Practice address
819 N Diers Ave Ste 7
Grand Island, NE 68803-4957
Phone
(308) 270-3828
NPI assigned
Nov 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Darlene Mowrey, PT, DPTNPI 1568912392
Title
Owner
Phone
(317) 750-6676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

819 N Diers Ave Ste 7
Grand Island, NE 68803-4957

Mailing address

819 N Diers Ave Ste 7
Grand Island, NE 68803-4957
Phone (308) 270-3828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240308001968 NE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6507202892 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Island, NE

National Provider Directory

National Provider Directory

Locations

819 N Diers Ave
Ste 7
Grand Island, NE 68803
Phone (308) 270-3828

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1003689951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 N DIERS AVE STE 7",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034957",
            "telephone_number": "308-270-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N DIERS AVE STE 7",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034957",
            "telephone_number": "308-270-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED THERAPY OF GRAND ISLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "MOWREY",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-750-6676",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.