Integrative Neurologic Wellness Institute LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INTEGRATIVE NEUROLOGIC WELLNESS INSTITUTE LLC

Practice address

35 Spring Lake Dr
Pinehurst, NC 28374-7099

Phone

(607) 279-5862

NPI assigned

May 26, 2020

Last updated

May 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Beck, PTNPI 1669882296

Title

Managing Member/Owner

Phone

(607) 279-5862

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Teeter Beck

  • Physical Therapist
  • Aberdeen, NC
  • NPI 1669882296
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1033732920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SPRING LAKE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747099",
            "telephone_number": "607-279-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SPRING LAKE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747099",
            "telephone_number": "607-279-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE NEUROLOGIC WELLNESS INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "607-279-5862",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keosha Tyronda Ingram, CNM
• Moquesha Ingram
• Victoria Inness, V
• Ian Inquimboy, PT
• Integrated Wound Specialists of North Carolina, PLLC
• Natasha Iranzad
• Olga Izotova, M.D.
• Tana Jackson
• Jordan Simon Zack Jacobs
• Marisa Knobe Jacobs

• Physical Therapist in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.