Active NPI
Integrated Long Term Care Aco PLLC
- Physical Medicine & Rehabilitation Physician
- St Francis, WI
National Provider Identifier
1083533137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- INTEGRATED LONG TERM CARE ACO PLLC
- Practice address
- 1915 E Tripoli Ave
St Francis, WI 53235-4142 - Phone
- (941) 380-0606
- NPI assigned
- Jul 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amish Patel, DO
- Title
- Ceo
- Phone
- (941) 380-0606
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
1915 E Tripoli Ave
St Francis, WI 53235-4142
Mailing address
401 N Michigan Ave Ste 1200
Chicago, IL 60611-4264
National Provider Directory
National Provider DirectoryLocations
2053 S Sheridan Dr
Muskegon, MI 49442
Phone (231) 329-3012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783900800000",
"number": "1083533137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N MICHIGAN AVE STE 1200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 E TRIPOLI AVE",
"city": "ST FRANCIS",
"state": "WI",
"postal_code": "532354142",
"telephone_number": "941-380-0606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED LONG TERM CARE ACO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-13",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "AMISH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "941-380-0606",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Francis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.