Integrative Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0682 Issued in MS

Legal business name

INTEGRATIVE PHYSICAL THERAPY, INC

Practice address

8880 Germantown Rd Ste 200
Olive Branch, MS 38654-8546

Phone

(662) 890-1142

Fax

(662) 890-1144

NPI assigned

Dec 26, 2007

Organization subpart

No

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

Authorized official

Name

Susan H Jenkins, P.T.

Title

Owner/Physical Therapist

Phone

(662) 890-1142

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.

• Susan Jenkins Hoyle, P.T.

  • Physical Therapist
  • Olive Branch, MS
  • NPI 1740378140
  NPD
• Julie Ann Leigh, OTR/L

  • Occupational Therapist
  • Tucson, AZ
  • NPI 1730369042
  NPD (past)

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1265616254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 GERMANTOWN RD STE 200",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386548546",
            "telephone_number": "662-890-1142",
            "fax_number": "662-890-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 GERMANTOWN RD STE 200",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386548546",
            "telephone_number": "662-890-1142",
            "fax_number": "662-890-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "662-890-1142",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT0682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ignite Clinical Wellness Group
• Melissa J Ince, RPH
• Ayyagari Indiradevi, MD
• Sheryl Ingram
• Inspired Creative Solutions Therapy, LLC
• Angel Isom
• Ivx Health of Mississippi, PC
• J5 Transportation LLC
• Clare E. Jackson, DPT
• Wykeshia Jackson

• Physical Therapist in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.