Organization Active NPI

Integrative Interventional Physiatry, PLC

  • Physical Medicine & Rehabilitation Physician
  • Battle Creek, MI
National Provider Identifier
1154007201
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Jun 23, 2023

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.