Integrative Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

INTEGRATIVE PHYSICAL THERAPY LLC

Doing business as

Integrative Physical Therapy LLC

Practice address

305 Saint Paul St Ste 321
Burlington, VT 05401-5073

Phone

(802) 557-1349

NPI assigned

Oct 21, 2021

Organization subpart

No

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

Authorized official

Name

Michelle Downing, DPTNPI 1063768059

Title

Owner

Phone

(541) 514-9555

Specialties & licenses 1

Addresses

Other names 1

• Integrative Physical Therapy LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 1

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

• Michelle Elisabeth Downing, DPT

  • Orthopedic Physical Therapist
  • Junction City, OR
  • NPI 1063768059

  VT

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1013670512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BEAVERBROOK HL",
            "city": "UNDERHILL",
            "state": "VT",
            "postal_code": "054899433",
            "telephone_number": "541-514-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SAINT PAUL ST STE 321",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015073",
            "telephone_number": "802-557-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "DOWNING",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-514-9555",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrative Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brian Hilbert Irwin, M.D.

• Physical Therapy Clinic/Center in Burlington, VT
• Providers in Burlington, VT by specialty
• Physical Therapy Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.