NPIMap

Organization Active NPI

Integrative Health and Fitness, Inc

Doing business as Performance Sport and Spine

  • Chiropractor
  • Front Royal, VA
National Provider Identifier
1023260429
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INTEGRATIVE HEALTH AND FITNESS, INC
Doing business as
Performance Sport and Spine
Practice address
1100 N Royal Ave
Front Royal, VA 22630-3526
Phone
(540) 635-4440
Fax
(540) 635-4450
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Dr. Jeremy Daniel Busch, D.C.NPI 1275684318
Title
President
Phone
(810) 241-2674

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1100 N Royal Ave
Front Royal, VA 22630-3526

Mailing address

1100 N Royal Ave
Front Royal, VA 22630-3526
Phone (540) 635-4440

Other names 1

  • Performance Sport and Spine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090217000600 VA Part B Supplier - Clinic/Group Practice 1850456369 Receives reassigned benefits from 3 practitioners
Practice locations: Front Royal, VA

National Provider Directory

National Provider Directory

Locations

840 John Marshall Hwy
Ste E
Front Royal, VA 22630
Phone (540) 635-4440

1100 N Royal Ave
Front Royal, VA 22630
Phone (540) 635-4440

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": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1023260429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N ROYAL AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303526",
            "telephone_number": "540-635-4440",
            "fax_number": "540-635-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N ROYAL AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303526",
            "telephone_number": "540-635-4440",
            "fax_number": "540-635-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH AND FITNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-241-2674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Sport and Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Front Royal, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.