Integrative Physiatry, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

N4020 Issued in TX

Legal business name

INTEGRATIVE PHYSIATRY, PLLC

Practice address

5814 Sandshell Court
Dallas, TX 75252

Phone

(972) 365-9843

NPI assigned

Apr 28, 2014

Last updated

Feb 9, 2022By 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

Igor Rakovchik, DONPI 1982868899

Title

DO

Phone

(972) 365-9842

Specialties & licenses 1

Addresses

Locations

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.

• Igor Rakovchik, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
  • NPI 1982868899
  Authorized official Same address or phone

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1073923264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 SANDSHELL COURT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 SANDSHELL COURT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75252",
            "telephone_number": "972-365-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "RAKOVCHIK",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "972-365-9842",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "N4020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Healthcare Associates PLLC
• Integrative Pain and Psychiatry PLLC
• Integrative Pain Institute PLLC
• Integrative Pain Management Center PLLC
• Integrative Pediatric Therapy
• Integrative Physical Medicine and Rehabilitation PA
• Integrity Healing Touch LLC
• Integrity Home Care Services, Inc.
• Integrity Neurodiagnostics
• Integrity Neuromonitoring

• Physical Medicine & Rehabilitation Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

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