Organization Active NPI

Integrated Therapy Services

  • Pediatric Occupational Therapist
  • Henrico, VA
National Provider Identifier
1013054147
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
INTEGRATED THERAPY SERVICES
Practice address
1610 Forest Avenue
Suite 214
Henrico, VA 23229-5009
Phone
(804) 282-4596
Fax
(804) 282-4598
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Sara Jane Caldwell
Title
Office Manager
Phone
(804) 282-4596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

1610 Forest Avenue
Suite 214
Henrico, VA 23229-5009

Mailing address

1610 Forest Avenue
Suite 214
Henrico, VA 23229-5009
Phone (804) 282-4596

Other identifiers 2

IdentifierTypeStateIssuer
2649005OtherVAAETNA
202054OtherVAANTHEM

National Provider Directory

National Provider Directory
Tax ID family
Integrated Therapy Services2 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.

Locations

1610 Forest Ave
Rm 214
Richmond, VA 23229
Phone (804) 282-4596

Practitioners & affiliated clinicians

Practitioners 5

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1013054147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 FOREST AVENUE",
            "address_2": "SUITE 214",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232295009",
            "telephone_number": "804-282-4596",
            "fax_number": "804-282-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 FOREST AVENUE",
            "address_2": "SUITE 214",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232295009",
            "telephone_number": "804-282-4596",
            "fax_number": "804-282-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "SARA JANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "804-282-4596"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2649005",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "202054",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.