Kris' Camp/ Therapy Intensive Programs, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-0016091 Issued in FL

Legal business name

KRIS' CAMP/ THERAPY INTENSIVE PROGRAMS, INC

Practice address

25955 Cedar St
Idyllwild, CA 92549-5840

Phone

(801) 598-7735

Fax

(801) 942-1750

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Liedy Van Ispelew

Title

Assistant Director

Phone

(801) 733-0721

Specialties & licenses 1

Addresses

Other names 1

• Therapy Intensive Programs, Inc Doing business as

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1154531309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 CREEK RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84121",
            "telephone_number": "807-733-0721",
            "fax_number": "807-942-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25955 CEDAR ST",
            "city": "IDYLLWILD",
            "state": "CA",
            "postal_code": "925495840",
            "telephone_number": "801-598-7735",
            "fax_number": "801-942-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS' CAMP/ THERAPY INTENSIVE PROGRAMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "VAN ISPELEW",
        "authorized_official_first_name": "LIEDY",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "801-733-0721",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT-0016091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy Intensive Programs, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marlin Wayne Harris, PT
• Idyllwild Community Acupuncture & Bodywork, Inc.
• Idyllwild Fire Protection District
• Idyllwild Health Center
• Kelly Lovejoy, Licensed Clinical Social Worker, P.C.
• Jennifer J Leong, LMFT
• Kelly Lovejoy, LCSW
• Mareea McClain, RPH
• Maureen Katherine McElligott, M.S., CCC SP
• Mental Health Residential Inc

• Physical Therapist in Idyllwild, CA
• Providers in Idyllwild, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.