Integrative Pediatric Therapy

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1066306 Issued in TX

Legal business name

INTEGRATIVE PEDIATRIC THERAPY

Practice address

12840 Hillcrest Road
Suite E-104
Dallas, TX 75230

Phone

(972) 404-3077

Fax

(972) 404-1124

NPI assigned

Jul 29, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Sally N Fryer, PT, CDT-D, SIPT CERT

Title

President/Owner

Phone

(972) 404-3077

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Summer Scullin, OTR

  • Occupational Therapist
  • Plano, TX
  • NPI 1235556507
  NPD (past)

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1275764920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 WINDCOM COURT",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "972-608-0909",
            "fax_number": "469-429-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 HILLCREST ROAD",
            "address_2": "SUITE E-104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "972-404-3077",
            "fax_number": "972-404-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "FRYER",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "972-404-3077",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, CDT-D, SIPT CERT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "1066306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Wellness Group
• Integrative Healthcare Associates PLLC
• Integrative Pain and Psychiatry PLLC
• Integrative Pain Institute PLLC
• Integrative Pain Management Center PLLC
• Integrative Physiatry, PLLC
• Integrative Physical Medicine and Rehabilitation PA
• Integrity Healing Touch LLC
• Integrity Home Care Services, Inc.
• Integrity Neurodiagnostics

• Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.