NPIMap

Organization Active NPI

Integrity Therapy, LLC

  • Physical Therapist
  • Clermont, FL
National Provider Identifier
1265893408
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
INTEGRITY THERAPY, LLC
Practice address
1600 Hunt Trace Blvd
Clermont, FL 34711-5184
Phone
(863) 617-9400
Fax
(863) 688-9858
NPI assigned
Mar 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Joseph Whitehurst, PT
Title
President
Phone
(863) 617-9400

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X FL Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X FL
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X FL
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

1600 Hunt Trace Blvd
Clermont, FL 34711-5184

Mailing address

PO Box 8939
Lakeland, FL 33806-8939
Phone (863) 617-9400

Other practice location 1

1485 Shorewood Dr
Lakeland, FL 33803-4229
Phone (863) 617-9400 ext. 701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191226001368 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1355625419 Practice locations: Lakeland, FL

Outpatient physical therapy / speech pathology certification: CCN 686979

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
INTEGRITY THERAPY LLC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jul 8, 2020
Last certification
Jul 8, 2020
Ownership / control type
Proprietary
Facility address
1600 Hunt Trace Blvd
Clermont, FL 34711

National Provider Directory

National Provider Directory

Locations

411 E Orange St
Ste 209
Lakeland, FL 33801

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1265893408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8939",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338068939",
            "telephone_number": "863-617-9400",
            "fax_number": "863-688-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HUNT TRACE BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115184",
            "telephone_number": "863-617-9400",
            "fax_number": "863-688-9858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1485 Shorewood Dr",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338034229",
            "country_code": "US",
            "telephone_number": "863-617-9400 x701",
            "fax_number": "863-688-9858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRITY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "WHITEHURST",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-617-9400",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.