Integrative Wellness Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

INTEGRATIVE WELLNESS THERAPY

Practice address

14477 County Road 501
Bayfield, CO 81122-8858

Phone

(678) 294-9173

NPI assigned

May 14, 2026

Organization subpart

No

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

Authorized official

Name

Nicole DahlenburgNPI 1518664523

Title

Otr/L

Phone

(678) 294-9173

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Integrative Wellness Therapy2 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.

• Integrative Wellness Therapy

  • Occupational Therapist
  • Venice, FL
  • NPI 1902740699
  NPD tax ID

Practitioners 1

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

• Nicole Dahlenburg, OTR/L

  • Occupational Therapist
  • Venice, FL
  • NPI 1518664523
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1013846310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14477 COUNTY ROAD 501",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811228858",
            "telephone_number": "678-294-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14477 COUNTY ROAD 501",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811228858",
            "telephone_number": "678-294-9173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Rivergate Ln Ste B1-108",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813017473",
            "country_code": "US",
            "telephone_number": "678-294-9173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATIVE WELLNESS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "DAHLENBURG",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "678-294-9173"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Injury Pain MD & Aesthetics LLC
• Innovative Chiropractic Care PLLC
• Inspirational Innovations, Inc.
• Integrated Regional Laboratories Pathology Services, LLC
• Integrated Regional Laboratories Pathology Services, LLC
• Integrative Wellness Therapy
• Internal Medicine Associates of Venice
• Intl Alf LLC
• Intl Alf LLC Dba Venice Green Village
• Ireland Consulting LLC

• Occupational Therapist in Venice, FL
• Providers in Venice, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.