Organization Active NPI

Integrated Medical Center

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Norwalk, CT
National Provider Identifier
1093932329
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
031959 Issued in CT
Legal business name
INTEGRATED MEDICAL CENTER
Practice address
365 Westport Ave
Norwalk, CT 06851-4344
Phone
(203) 845-0400
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Joanne Sauter
Title
Manager
Phone
(203) 845-0400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 001586 CT
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204C00000X 031959 CT Primary

Addresses

Primary practice location

365 Westport Ave
Norwalk, CT 06851-4344

Mailing address

365 Westport Ave
Norwalk, CT 06851-4344
Phone (203) 845-0400

National Provider Directory

National Provider Directory
Tax ID family
Integrated Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1093932329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 WESTPORT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514344",
            "telephone_number": "203-845-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 WESTPORT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514344",
            "telephone_number": "203-845-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SAUTER",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-845-0400"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001586",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CT",
            "license": "031959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.