Active NPI
Integrative Therapy Institute Inc
- Physical Therapist
- Arcadia, CA
National Provider Identifier
1215501200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- INTEGRATIVE THERAPY INSTITUTE INC
- Practice address
- 36 W Live Oak Ave
Arcadia, CA 91007-8517 - Phone
- (626) 899-7959
- Fax
- (626) 254-9199
- NPI assigned
- May 14, 2021
- 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
- Yen Wei Tu
- Title
- Manager
- Phone
- (626) 348-7097
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Acupuncturist | 171100000X | |||
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
36 W Live Oak Ave
Arcadia, CA 91007-8517
Mailing address
36 W Live Oak Ave
Arcadia, CA 91007-8517
Phone (626) 348-7097
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Athena |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210920002571 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7113324013 |
Receives reassigned benefits from 1 practitioner Practice locations: Arcadia, CA |
National Provider Directory
National Provider DirectoryLocations
36 W Live Oak Ave
Arcadia, CA 91007
Phone (626) 348-9368
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Arcadia, CA
- NPI 1053849612
-
- Physical Therapy Assistant
- Arcadia, CA
- NPI 1962278028
-
- Chiropractor
- Arcadia, CA
- NPI 1487258901
-
- Acupuncturist
- Arcadia, CA
- NPI 1659162543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625702400000",
"number": "1215501200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 W LIVE OAK AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910078517",
"telephone_number": "626-348-7097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 W LIVE OAK AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910078517",
"telephone_number": "626-899-7959",
"fax_number": "626-254-9199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE THERAPY INSTITUTE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-14",
"last_updated": "2021-07-08",
"certification_date": "2021-06-17",
"status": "A",
"authorized_official_last_name": "TU",
"authorized_official_first_name": "YEN WEI",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "626-348-7097"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Athena",
"affiliation": "N",
"endpointDescription": "EHR",
"address_1": "36 W Live Oak Ave",
"city": "Arcadia",
"state": "CA",
"country_code": "US",
"postal_code": "910078517",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.