Integration Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2509 Issued in NM

Legal business name

INTEGRATION THERAPY, LLC

Practice address

Treasury Center 10
Crested Butte Way Ste L2
Mt. Crested Butte, CO 81225-0154

Phone

(970) 251-5462

Fax

(970) 251-5463

NPI assigned

Jul 8, 2015

Last updated

Feb 25, 2021By 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

Jodi Medell, DPTNPI 1699807669

Title

Owner

Phone

(505) 780-8783

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

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.

• Jodi Lynn Medell, PT

  • Physical Therapist
  • Santa Fe, NM
  • NPI 1699807669
  Medicare reassignment Authorized official
• Rachel Faith Joyce, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Fe, NM
  • NPI 1841956448
  NPD

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1255714226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 MARQUEZ PL",
            "address_2": "SUITE 101B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051834",
            "telephone_number": "505-780-8783",
            "fax_number": "505-780-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TREASURY CENTER 10",
            "address_2": "CRESTED BUTTE WAY STE L2",
            "city": "MT. CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812250154",
            "telephone_number": "970-251-5462",
            "fax_number": "970-251-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "MEDELL",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-780-8783",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": "2509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crested Butte Medical Center PLLC
• Linda J Olesen
• Kenneth Howard Reynolds, MD
• Thomas P Moore MD PHD PC (Moore Orthopedics)

• Physical Therapy Clinic/Center in Mt. Crested Butte, CO
• Providers in Mt. Crested Butte, CO by specialty
• Physical Therapy Clinic/Center in Colorado

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

Verify at the official NPI Registry.