Integrated Physical Therapy and Wellness Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INTEGRATED PHYSICAL THERAPY AND WELLNESS INC

Practice address

10159 N Blaney Ave
Cupertino, CA 95014-2329

Phone

(510) 504-2061

NPI assigned

Apr 27, 2020

Organization subpart

No

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

Authorized official

Name

Vijayalakshmi Natarajan, PTNPI 1366062002

Title

President/ Ceo

Phone

(510) 504-2061

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vijayalakshmi Natarajan

  • Physical Therapist
  • Cupertino, CA
  • NPI 1366062002

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1265053581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950150192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10159 N BLANEY AVE",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142329",
            "telephone_number": "510-504-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PHYSICAL THERAPY AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "NATARAJAN",
        "authorized_official_first_name": "VIJAYALAKSHMI",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "510-504-2061",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT BOARD OF CA",
            "identifier": "PT28277",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Ichikawa
• Farzaneh Imani
• Nicholas P Infantino, DDS
• Samuel Joseph Infantino, DDS
• Insiya Saboowala DDS Inc
• Intrahealth Physical Therapy
• Phyllis M. Ishida, D.D.S.
• Sachi K Itow, MPT
• Marc-Alan Iwahashi, M.D.,
• Shraddha Ramesh Iyengar

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.