Integrative Interventional Physiatry, PLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

INTEGRATIVE INTERVENTIONAL PHYSIATRY, PLC

Doing business as

Integrative Interventional Physiatry

Practice address

2545 Capital Ave SW Ste 201a
Battle Creek, MI 49015-7103

Phone

(269) 883-2495

NPI assigned

Jun 23, 2023

Last updated

Jun 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eduardo Jose Otero-Loperena, MDNPI 1871980953

Title

Owner

Phone

(787) 415-6412

Specialties & licenses 1

Addresses

Other names 1

• Integrative Interventional Physiatry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eduardo Jose Otero-Loperena, MD

  • Physical Medicine & Rehabilitation Physician
  • Dearborn, MI
  • NPI 1871980953
  Authorized official Same address or phone

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"
        }
    ]
}

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• Physical Medicine & Rehabilitation Physician in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• 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.