Active NPI
Integrative Interventional Physiatry, PLC
- Physical Medicine & Rehabilitation Physician
- Battle Creek, MI
National Provider Identifier
1154007201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- INTEGRATIVE INTERVENTIONAL PHYSIATRY, PLC
- Practice address
- 2545 Capital Ave SW Ste 201a
Battle Creek, MI 49015-7103 - Phone
- (269) 883-2495
- NPI assigned
- Jun 23, 2023
- 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
- Eduardo Jose Otero-Loperena, MD
- Title
- Owner
- Phone
- (787) 415-6412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
2545 Capital Ave SW Ste 201a
Battle Creek, MI 49015-7103
Mailing address
332 Community Dr
Battle Creek, MI 49014-8137
Phone (787) 415-6412
Other names 1
- Integrative Interventional Physiatry
National Provider Directory
National Provider DirectoryLocations
2545 Capital Ave SW
Ste 201A
Battle Creek, MI 49015
Phone (269) 883-2495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687478400000",
"number": "1154007201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 COMMUNITY DR",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490148137",
"telephone_number": "787-415-6412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 CAPITAL AVE SW STE 201A",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490157103",
"telephone_number": "269-883-2495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE INTERVENTIONAL PHYSIATRY, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-23",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A",
"authorized_official_last_name": "OTERO-LOPERENA",
"authorized_official_first_name": "EDUARDO",
"authorized_official_middle_name": "JOSE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-415-6412",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Integrative Interventional Physiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.