Integrated Sport and Spine Clinic of Madison LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

4401-12 Issued in WI

Legal business name

INTEGRATED SPORT AND SPINE CLINIC OF MADISON LLC

Practice address

3109 Commercial Ave
Madison, WI 53714-1447

Phone

(608) 271-8009

Fax

(608) 243-9290

NPI assigned

May 30, 2008

Last updated

May 30, 2008By 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

David Heitmann, DC, MSNPI 1235301490

Title

Owner

Phone

(608) 271-8009

Specialties & licenses 1

Addresses

Locations

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.

• David Heitmann, D.C., M.S.

  • Rehabilitation Chiropractor
  • Madison, WI
  • NPI 1235301490
  Authorized official Same address or phone
• Zachary J Paul, DC

  • Chiropractor
  • Egg Harbor, WI
  • NPI 1427228808
  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1225296874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 COMMERCIAL AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141447",
            "telephone_number": "608-271-8009",
            "fax_number": "608-243-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 COMMERCIAL AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141447",
            "telephone_number": "608-271-8009",
            "fax_number": "608-243-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SPORT AND SPINE CLINIC OF MADISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "HEITMANN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-271-8009",
        "authorized_official_credential": "DC, MS"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WI",
            "license": "4401-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integral Psychology Center (The Integral Psychology Center)
• Integrated Counseling LLC
• Integrated Developmental Services, Inc
• Integrated Physical Therapy, LLC
• Integrated Roots Therapy LLC
• Integrated Wound Care Wisconsin Medical LLC
• Integration Bodywork LLC
• Integrative Health Center of Central Wisconsin LLC
• Integrative Psychiatry of Wisconsin
• Integrative Psychological Consultants, LLC

• Multi-Specialty Clinic/Center in Madison, WI
• Providers in Madison, WI by specialty
• Multi-Specialty Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.