Integrated Wellness

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A-0959 Issued in NM

Legal business name

INTEGRATED WELLNESS

Practice address

3615 Highway 528 NW Ste 106
Albuquerque, NM 87114-8919

Phone

(505) 899-4334

Fax

(505) 792-4236

NPI assigned

Apr 9, 2014

Last updated

Apr 9, 2014By 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

Mrs. Tiffany Hays

Title

Patient Services Coordinator

Phone

(505) 899-4334

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Shaun Philip Dodson, DPT

  • Physical Therapist
  • Rio Rancho, NM
  • NPI 1124261037
  NPD (past)
• Russell Ray Rutledge III

  • Physical Therapy Assistant
  • Albuquerque, NM
  • NPI 1700205432
  NPD (past)

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1285053918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 HIGHWAY 528 NW STE 106",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871148919",
            "telephone_number": "505-899-4334",
            "fax_number": "505-792-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 HIGHWAY 528 NW STE 106",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871148919",
            "telephone_number": "505-899-4334",
            "fax_number": "505-792-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "HAYS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "PATIENT SERVICES COORDINATOR",
        "authorized_official_telephone_number": "505-899-4334",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "A-0959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW MEXICO PHYSICAL THERAPY BOARD",
            "identifier": "A-0959",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Concepts (PharmaCare Health Services)
• Integrated Concepts, Inc (PharmaCare)
• Integrated Family Wellness Center, LLC
• Integrated Healthcare of New Mexico
• Integrated Wellness
• Integrative Counseling & Psychotherapy Services, LLC
• Integrative Elements NM
• Integrative Medicine Clinic
• Integrition, LLC
• Integrity Behavior Improvement Services, LLC

• Physical Therapy Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.