Organization Active NPI

Integrate Physical Therapy Solutions

Doing business as Integrate Physical Therapy

  • Health Maintenance Organization
  • Henrico, VA
National Provider Identifier
1144627670
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
2305205986 Issued in VA
Legal business name
INTEGRATE PHYSICAL THERAPY SOLUTIONS
Doing business as
Integrate Physical Therapy
Practice address
5317 Lakeside Ave Ste a
Henrico, VA 23228-6007
Phone
(804) 303-4961
NPI assigned
Nov 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Peter Allen, DPT
Title
President
Phone
(804) 437-3791

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Health Maintenance Organization 302R00000X 2305205986 VA Primary

Addresses

Primary practice location

5317 Lakeside Ave Ste a
Henrico, VA 23228-6007

Mailing address

5317 Lakeside Ave Ste a
Henrico, VA 23228-6007
Phone (804) 303-4961

Other names 1

  • Integrate Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

5317 Lakeside Ave
Ste A
Henrico, VA 23228
Phone (804) 303-4961

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1144627670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 LAKESIDE AVE STE A",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232286007",
            "telephone_number": "804-303-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 LAKESIDE AVE STE A",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232286007",
            "telephone_number": "804-303-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATE PHYSICAL THERAPY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-437-3791",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VA",
            "license": "2305205986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrate Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrate Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.