Active NPI
Integra Therapy Services, LLC
- Occupational Therapist
- Saint Louis, MO
National Provider Identifier
1184952608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- INTEGRA THERAPY SERVICES, LLC
- Practice address
- 1433 Dolman St
Saint Louis, MO 63104-3307 - Phone
- (314) 494-6337
- Fax
- (888) 452-2930
- NPI assigned
- Nov 20, 2009
- Last updated
- Nov 20, 2009
- 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
- Ms. Stacy Elizabeth Bragg, MS OTR/L
- Title
- Managing Member
- Phone
- (314) 494-6337
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | NU | ||
| Occupational Therapist | 225X00000X | NU | Primary | |
| Speech-Language Pathologist | 235Z00000X | NU |
Addresses
Primary practice location
1433 Dolman St
Saint Louis, MO 63104-3307
Mailing address
PO Box 2101
Saint Louis, MO 63158-0101
Phone (314) 494-6337
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Pediatric Occupational Therapist
- O'Fallon, IL
- NPI 1881711620
-
- Occupational Therapy Assistant
- Saint Louis, MO
- NPI 1316275324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258675200000",
"number": "1184952608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2101",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631580101",
"telephone_number": "314-494-6337",
"fax_number": "888-452-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1433 DOLMAN ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631043307",
"telephone_number": "314-494-6337",
"fax_number": "888-452-2930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRA THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-20",
"last_updated": "2009-11-20",
"status": "A",
"authorized_official_last_name": "BRAGG",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "314-494-6337",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS OTR/L"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Institute for Research and Education in Family Medicine (IFM Community Medicine)
- Institute of Medicine LLC
- Institute of Pain Management LLC
- Alison Intagliata
- Integra Physicians Urgent Care Centers, LLC (Des Peres Urgent Care Center)
- Integramed Medical Missouri, LLC (STL Fertility)
- Integrated Care Professionals of Missouri, LLC
- Integrated Change Counseling LLC
- Integrated Health Management Inc
- Integrated Home Health Services, L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.