NPIMap

Organization Active NPI

Integrated Sports Therapy, PC

  • Chiropractor
  • Westport, CT
National Provider Identifier
1063688042
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001725 Issued in CT
Legal business name
INTEGRATED SPORTS THERAPY, PC
Practice address
180 Post Rd E Ste 209
Westport, CT 06880-3414
Phone
(203) 292-9353
Fax
(203) 292-9353
NPI assigned
Apr 30, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Edward J Zebro, D.C.NPI 1356517320
Title
President / Owner
Phone
(203) 292-9353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001725 CT Primary
Physical Therapist 225100000X 007391 CT

Addresses

Primary practice location

180 Post Rd E Ste 209
Westport, CT 06880-3414

Mailing address

180 Post Road East
Suite 209
Westport, CT 06880-3414
Phone (203) 292-9353

National Provider Directory

National Provider Directory

Locations

180 Post Rd E
Ste 209
Westport, CT 06880
Phone (203) 292-9353

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063688042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 POST ROAD EAST",
            "address_2": "SUITE 209",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803414",
            "telephone_number": "203-292-9353",
            "fax_number": "203-292-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 POST RD E STE 209",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803414",
            "telephone_number": "203-292-9353",
            "fax_number": "203-292-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SPORTS THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZEBRO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "203-292-9353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001725",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.