Isa5417, LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

ISA5417, LLC

Practice address

154 E Myrtle Ave Ste 100
Murray, UT 84107-4850

Phone

(801) 210-5050

Fax

(801) 210-5050

NPI assigned

Oct 25, 2021

Organization subpart

No

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

Authorized official

Name

Blanca Yuraima Corrie

Title

Managing Member

Phone

(210) 249-4949

Specialties & licenses 1

Addresses

Other names 1

• PIHELP Doing business as

Locations

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1063176170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14439 NW MILITARY HWY STE 108-449",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311646",
            "telephone_number": "210-249-4949",
            "fax_number": "210-249-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 E MYRTLE AVE STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074850",
            "telephone_number": "801-210-5050",
            "fax_number": "801-210-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3207 Elys Path",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782302886",
            "country_code": "US",
            "telephone_number": "210-249-4949",
            "fax_number": "210-249-4949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ISA5417, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "CORRIE",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "YURAIMA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "210-249-4949"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIHELP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PIHELP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Susan Iqbal, MD
• Heather Ireland-Hinz, MS, OTR/L
• Richard A Irion, M.D.
• Richard Nelson Irion, M.D.
• Janeal Rae Irish-Madruga, COTA/L
• Ismile at Murray Family Dental
• Esther Israel
• It'S Personal Care Services LLC
• Seini Ita
• Janelle Iverson, LCSW

• Rehabilitation Chiropractor in Murray, UT
• Providers in Murray, UT by specialty
• Rehabilitation Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.